SUSAN G MYERS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083504

License Status

NOT RENEWED

Business

First Name

SUSAN G

Last Name

MYERS

Suffix

Business Name

SUSAN G MYERS MD

Original Issue Date

09/21/1991

Effective Date

09/21/1991

Expiration Date

07/31/1996

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/20/2006