SUSAN ABRAHAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126970

License Status

NOT RENEWED

Business

First Name

SUSAN

Last Name

ABRAHAM

Suffix

Business Name

SUSAN ABRAHAM MD

Original Issue Date

12/13/2010

Effective Date

05/21/2014

Expiration Date

07/31/2017

City

BLOOMINGTON

State

Zip

61702

County

MCLEAN

Ever Disciplined

LastModifiedDate

11/01/2017