SUZANNE ELIA IWAZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068953

License Status

CANCELLED

Business

Title

First Name

SUZANNE

Middle

ELIA

Last Name

IWAZ

Business Name

SUZANNE ELIA IWAZ MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2019

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

05/17/2016