SUSANNE TIDOW-KEBRITCHI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

NOT RENEWED

Business

First Name

SUSANNE

Last Name

TIDOW-KEBRITCHI

Suffix

Business Name

SUSANNE TIDOW-KEBRITCHI MD

Original Issue Date

01/24/2003

Effective Date

05/05/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60646

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023