SUZANNE L VAN BENTHUYSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

NOT RENEWED

Business

First Name

SUZANNE

Middle

Last Name

VAN BENTHUYSEN

Suffix

Business Name

SUZANNE L VAN BENTHUYSEN MD

Original Issue Date

10/20/2011

Effective Date

10/20/2011

Expiration Date

07/31/2014

City

CALUMET PARK

State

Zip

60827

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014