SUSAN BARBARA EYSMANN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

First Name

SUSAN BARBARA

Last Name

EYSMANN

Suffix

Business Name

SUSAN BARBARA EYSMANN MD

Original Issue Date

08/18/1992

Effective Date

08/18/1992

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006