SUSAN K BALCIULIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079293

License Status

NOT RENEWED

Business

First Name

SUSAN K

Last Name

BALCIULIS

Suffix

Business Name

SUSAN K BALCIULIS MD

Original Issue Date

08/05/1989

Effective Date

08/05/1989

Expiration Date

07/31/2005

City

DAVENPORT

State

Zip

52806

County

IOWA

Ever Disciplined

LastModifiedDate

10/09/2006