SUSAN MICHELLE WETZEL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062983

License Status

EXPIRED

Business

Title

First Name

SUSAN

Middle

MICHELLE

Last Name

WETZEL

Business Name

SUSAN MICHELLE WETZEL MD

Original Issue Date

06/26/2016

Effective Date

06/26/2016

Expiration Date

06/25/2018

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

10/25/2018