MIRELLA SUSNJAR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096103

License Status

ACTIVE

Business

First Name

MIRELLA

Last Name

SUSNJAR

Suffix

Business Name

MIRELLA SUSNJAR MD

Original Issue Date

07/18/1997

Effective Date

05/16/2023

Expiration Date

07/31/2026

City

DIXON

State

Zip

61021

County

KANE

Ever Disciplined

LastModifiedDate

05/16/2023