SUZANNE LAFOLLETTE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

NOT RENEWED

Business

First Name

SUZANNE

Last Name

LAFOLLETTE

Suffix

Business Name

SUZANNE LAFOLLETTE MD

Original Issue Date

10/05/2000

Effective Date

05/01/2017

Expiration Date

09/30/2020

City

ROLLING MEADOWS

State

Zip

60008

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021