NICHOLAS RICHARD SUSS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077750

License Status

CANCELLED

Business

Title

First Name

NICHOLAS

Middle

RICHARD

Last Name

SUSS

Business Name

NICHOLAS RICHARD SUSS MD

Original Issue Date

06/24/2021

Effective Date

06/24/2021

Expiration Date

06/23/2024

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

04/01/2021