ELLIE SANG SUKERMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

Title

First Name

ELLIE

Middle

SANG

Last Name

SUKERMAN

Business Name

ELLIE SANG SUKERMAN MD

Original Issue Date

06/24/2015

Effective Date

06/24/2015

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/01/2017