SUSAN K BALCIULIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

NOT RENEWED

Business

First Name

SUSAN K

Last Name

BALCIULIS

Suffix

Business Name

SUSAN K BALCIULIS MD

Original Issue Date

10/10/1989

Effective Date

10/10/1989

Expiration Date

07/31/1999

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006