SUSAN F SIROTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

First Name

SUSAN F

Last Name

SIROTA

Suffix

Business Name

SUSAN F SIROTA MD

Original Issue Date

02/04/1998

Effective Date

02/04/1998

Expiration Date

07/31/1999

City

VERNON HILLS

State

Zip

60061

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020