DAVID ALBERT SURACE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125082831

License Status

ACTIVE

Business

Title

First Name

DAVID

Middle

ALBERT

Last Name

SURACE

Business Name

DAVID ALBERT SURACE DO

Original Issue Date

07/01/2023

Effective Date

07/01/2023

Expiration Date

06/30/2026

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

05/16/2023