CAMPO ELIAS SUESCUN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

NOT RENEWED

Business

First Name

CAMPO

Middle

ELIAS

Last Name

SUESCUN

Suffix

Business Name

CAMPO ELIAS SUESCUN MD

Original Issue Date

10/22/1998

Effective Date

07/23/2014

Expiration Date

07/31/2017

City

WAUKEGAN

State

Zip

60085

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017