SUSAN MICHELLE FOLSOM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070092

License Status

EXPIRED

Business

Title

First Name

SUSAN

Middle

MICHELLE

Last Name

FOLSOM

Business Name

SUSAN MICHELLE FOLSOM MD

Original Issue Date

06/23/2020

Effective Date

06/23/2020

Expiration Date

06/22/2021

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

10/11/2022