SUSAN CALVADORES BALVERDE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

NOT RENEWED

Business

First Name

SUSAN CALVADORES

Last Name

BALVERDE

Suffix

Business Name

SUSAN CALVADORES BALVERDE MD

Original Issue Date

08/06/1987

Effective Date

11/05/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020