SUSAN CALVADORES BALVERDE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

NOT RENEWED

Business

First Name

SUSAN CALVADORES

Last Name

BALVERDE

Suffix

Business Name

SUSAN CALVADORES BALVERDE MD

Original Issue Date

01/01/1997

Effective Date

11/05/2014

Expiration Date

07/31/2017

City

MELROSE PARK

State

Zip

60160

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020