SUSY ALIAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036082308

License Status

NOT RENEWED

Business

First Name

SUSY

Last Name

ALIAS

Suffix

Business Name

SUSY ALIAS MD

Original Issue Date

05/13/1991

Effective Date

05/13/1991

Expiration Date

07/31/2005

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

08/08/2008