ALISA ANPING SUEN-WALLACH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125087079

License Status

ACTIVE

Business

Title

First Name

ALISA

Middle

ANPING

Last Name

SUEN-WALLACH

Business Name

ALISA ANPING SUEN-WALLACH MD

Original Issue Date

07/01/2026

Effective Date

07/01/2026

Expiration Date

06/30/2029

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

12/18/2025