SUZANNE WARD BIRMINGHAM 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

SUZANNE

Middle

WARD

Last Name

BIRMINGHAM

Business Name

SUZANNE WARD BIRMINGHAM MD

Original Issue Date

08/20/2024

Effective Date

08/20/2024

Expiration Date

07/31/2026

City

SKOKIE

State

Zip

60077

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/20/2024