SUSAN AUDREY KOSLOW MD - Medical Doctor License in Indiana | # 036092459

SUSAN AUDREY KOSLOW MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092459

License Status

NOT RENEWED

Business

N

First Name

SUSAN AUDREY

Last Name

KOSLOW

Suffix

MD

Business Name

SUSAN AUDREY KOSLOW MD

Original Issue Date

02/27/1996

Effective Date

04/18/2014

Expiration Date

07/31/2017

State

IN

Ever Disciplined

N

LastModifiedDate

11/01/2017