SUSAN BAJIE GEORGE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116874

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

BAJIE

Last Name

GEORGE

Suffix

Business Name

SUSAN BAJIE GEORGE MD

Original Issue Date

09/05/2006

Effective Date

07/20/2011

Expiration Date

07/31/2014

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

11/17/2014