SUZANNE LEE MANCHERIAN DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****24

License Status

NOT RENEWED

Business

First Name

SUZANNE

Middle

LEE

Last Name

MANCHERIAN

Suffix

DPM

Business Name

SUZANNE LEE MANCHERIAN DPM

Original Issue Date

08/16/2001

Effective Date

08/16/2001

Expiration Date

01/31/2003

City

CHICAGO

State

Zip

60607

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

10/09/2006