AMY BLAKE SUSNOW MD - Medical Doctor License in Colorado | # 036126904

AMY BLAKE SUSNOW MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126904

License Status

NOT RENEWED

Business

N

Title

MD

First Name

AMY

Middle

BLAKE

Last Name

SUSNOW

Business Name

AMY BLAKE SUSNOW MD

Original Issue Date

11/23/2010

Effective Date

11/23/2010

Expiration Date

07/31/2011

State

CO

Ever Disciplined

N

LastModifiedDate

11/14/2011