SUSAN ELIZABETH QUAGGIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

ACTIVE

Business

Title

First Name

SUSAN

Middle

ELIZABETH

Last Name

QUAGGIN

Business Name

SUSAN ELIZABETH QUAGGIN MD

Original Issue Date

12/13/2012

Effective Date

07/15/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

07/15/2023