SUSAN K FELLNER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

NOT RENEWED

Business

First Name

SUSAN K

Last Name

FELLNER

Suffix

Business Name

SUSAN K FELLNER MD

Original Issue Date

08/01/1983

Effective Date

08/01/1983

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006