SUSAN J LADUZINSKY Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

ACTIVE

Business

First Name

SUSAN

Middle

Last Name

LADUZINSKY

Business Name

SUSAN J LADUZINSKY

Original Issue Date

10/16/1990

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

SHILOH

State

Zip

62269

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2023