SUSAN D TIUKINHOY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

NOT RENEWED

Business

First Name

SUSAN D

Last Name

TIUKINHOY

Business Name

SUSAN D TIUKINHOY

Original Issue Date

02/11/1997

Effective Date

04/20/2011

Expiration Date

07/31/2014

City

LONG GROVE

State

Zip

60047

County

LAKE

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

11/17/2014