JASON RODNEY SUSONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131675

License Status

NOT RENEWED

Business

Title

First Name

JASON

Middle

RODNEY

Last Name

SUSONG

Business Name

JASON RODNEY SUSONG MD

Original Issue Date

11/01/2012

Effective Date

11/01/2012

Expiration Date

07/31/2014

City

SCOTT AFB

State

Zip

62225

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

11/17/2014