SUSAN G MARANTZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

NOT RENEWED

Business

First Name

SUSAN G

Last Name

MARANTZ

Suffix

Business Name

SUSAN G MARANTZ MD

Original Issue Date

01/21/1992

Effective Date

01/24/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60646

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021