SUSAN WIRTH BALTER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044991

License Status

NOT RENEWED

Business

First Name

SUSAN WIRTH

Last Name

BALTER

Suffix

Business Name

SUSAN WIRTH BALTER MD

Original Issue Date

11/24/1971

Effective Date

07/10/2020

Expiration Date

07/31/2023

City

CULVER CITY

State

Zip

90230

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023