SUSAN LOUISE ALT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

ACTIVE

Business

Title

First Name

SUSAN

Middle

LOUISE

Last Name

ALT

Business Name

SUSAN LOUISE ALT MD

Original Issue Date

08/20/2002

Effective Date

06/14/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60640

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/14/2023