SUSAN E SIPAY 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

Middle

Last Name

SIPAY

Business Name

SUSAN E SIPAY

Original Issue Date

08/30/1999

Effective Date

08/30/1999

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60631

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006