SUSANNE KAY TAEGE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

NOT RENEWED

Business

Title

First Name

SUSANNE

Middle

KAY

Last Name

TAEGE

Business Name

SUSANNE KAY TAEGE MD

Original Issue Date

03/27/2014

Effective Date

06/21/2017

Expiration Date

09/30/2020

City

FOREST PARK

State

Zip

60130

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021