CARLY SUE KRUSE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070329

License Status

EXPIRED

Business

Title

First Name

CARLY

Middle

SUE

Last Name

KRUSE

Business Name

CARLY SUE KRUSE MD

Original Issue Date

06/24/2017

Effective Date

06/24/2017

Expiration Date

06/23/2020

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

05/16/2017