SUSAN JASON DEGUIDE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100246

License Status

ACTIVE

Business

First Name

SUSAN

Middle

JASON

Last Name

DEGUIDE

Suffix

Business Name

SUSAN JASON DEGUIDE MD

Original Issue Date

05/24/1999

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/06/2023