MARY SUSANNE WIL ROSCOE Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036035086

License Status

INACTIVE

Business

First Name

MARY SUSANNE WIL

Last Name

ROSCOE

Business Name

MARY SUSANNE WIL ROSCOE

Original Issue Date

03/05/1958

Effective Date

03/05/1958

Expiration Date

07/31/1993

City

AURORA

State

Zip

60606

County

KANE

Ever Disciplined

LastModifiedDate

09/20/2006