SUSAN J ERLENBORN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

ACTIVE

Business

First Name

SUSAN J

Last Name

ERLENBORN

Suffix

Business Name

SUSAN J ERLENBORN MD

Original Issue Date

07/23/1992

Effective Date

05/02/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60623

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2023