SUSAN LYNN HASEGAWA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

LYNN

Last Name

HASEGAWA

Suffix

Business Name

SUSAN LYNN HASEGAWA MD

Original Issue Date

10/25/2001

Effective Date

10/25/2001

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020