SUSAN ANETTE A RAYMUNDO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021068

License Status

EXPIRED

Business

First Name

SUSAN ANETTE

Middle

Last Name

RAYMUNDO

Business Name

SUSAN ANETTE A RAYMUNDO

Original Issue Date

05/30/1987

Effective Date

05/30/1987

Expiration Date

07/01/1990

City

ROCKFORD

State

Zip

61107

County

BOONE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006