SUSAN BLEASDALE CASEY Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

ACTIVE

Business

First Name

SUSAN

Middle

BLEASDALE

Last Name

CASEY

Business Name

SUSAN BLEASDALE CASEY

Original Issue Date

08/07/2003

Effective Date

04/29/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/29/2023