SUSAN FEDER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

ACTIVE

Business

First Name

SUSAN

Last Name

FEDER

Suffix

Business Name

SUSAN FEDER MD

Original Issue Date

07/03/2013

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

SKOKIE

State

Zip

60077

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023