SUSAN J CARMODY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029282

License Status

EXPIRED

Business

First Name

SUSAN J

Last Name

CARMODY

Suffix

Business Name

SUSAN J CARMODY MD

Original Issue Date

04/22/1993

Effective Date

04/22/1993

Expiration Date

06/30/1996

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006