SUSAN MARIE PANEK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

CANCELLED

Business

First Name

SUSAN

Middle

MARIE

Last Name

PANEK

Suffix

Business Name

SUSAN MARIE PANEK MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2008

City

LA GRANGE PARK

State

Zip

60526

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008