GREGORY KENNETH SUELZLE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

NOT RENEWED

Business

First Name

GREGORY

Middle

KENNETH

Last Name

SUELZLE

Suffix

Business Name

GREGORY KENNETH SUELZLE MD

Original Issue Date

09/24/2002

Effective Date

09/24/2002

Expiration Date

07/31/2005

City

ELGIN

State

Zip

60120

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006