SUSAN SHAPIRO BRAITHWAITE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036043292

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

SHAPIRO

Last Name

BRAITHWAITE

Suffix

Business Name

SUSAN SHAPIRO BRAITHWAITE MD

Original Issue Date

06/30/1970

Effective Date

06/24/2020

Expiration Date

07/31/2023

City

TALLAHASSEE

State

Zip

32308

Ever Disciplined

LastModifiedDate

11/30/2023