SUSAN SARAH PYATETSKY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

ACTIVE

Business

First Name

SUSAN

Middle

SARAH

Last Name

PYATETSKY

Suffix

Business Name

SUSAN SARAH PYATETSKY MD

Original Issue Date

08/21/2008

Effective Date

06/30/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/30/2023