SUSAN T IGNATIUS Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

ACTIVE

Business

First Name

SUSAN T

Last Name

IGNATIUS

Business Name

SUSAN T IGNATIUS

Original Issue Date

05/05/1995

Effective Date

04/20/2023

Expiration Date

07/31/2026

City

CAROL STREAM

State

Zip

60188

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/20/2023