SUSAN ANNETTE MINCHIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

ANNETTE

Last Name

MINCHIN

Suffix

Business Name

SUSAN ANNETTE MINCHIN MD

Original Issue Date

10/19/2000

Effective Date

10/19/2000

Expiration Date

07/31/2008

City

GRANITE CITY

State

Zip

62040

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020