SUZANNE DANIELA CONZEN 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

SUZANNE DANIELA

Last Name

CONZEN

Suffix

Business Name

SUZANNE DANIELA CONZEN MD

Original Issue Date

02/24/1997

Effective Date

07/12/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021