SUSAN F SIROTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

ACTIVE

Business

First Name

SUSAN F

Last Name

SIROTA

Suffix

Business Name

SUSAN F SIROTA MD

Original Issue Date

05/20/1993

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2023