SUSAN K PIKE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000216

License Status

EXPIRED

Business

First Name

SUSAN

Middle

Last Name

PIKE

Business Name

SUSAN K PIKE

Original Issue Date

12/01/2004

Effective Date

12/01/2004

Expiration Date

12/31/2004

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/25/2006