SUSY GRAJEDA TSURUTA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067873

License Status

EXPIRED

Business

Title

First Name

SUSY

Middle

GRAJEDA

Last Name

TSURUTA

Business Name

SUSY GRAJEDA TSURUTA MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

08/03/2018

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

12/04/2018