SUSAN J MORRIS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094146

License Status

NOT RENEWED

Business

First Name

SUSAN J

Last Name

MORRIS

Business Name

SUSAN J MORRIS

Original Issue Date

09/04/1996

Effective Date

09/04/1996

Expiration Date

07/31/2005

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/09/2006