SUSAN C RAYNE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113200

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

RAYNE

Suffix

Business Name

SUSAN C RAYNE MD

Original Issue Date

03/04/2005

Effective Date

08/18/2020

Expiration Date

07/31/2023

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

11/30/2023