MARTA M SHUSHUNOV MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

NOT RENEWED

Business

First Name

MARTA M

Last Name

SHUSHUNOV

Suffix

Business Name

MARTA M SHUSHUNOV MD

Original Issue Date

06/05/1985

Effective Date

06/05/1985

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60613

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/26/2006