MARY SUSANNE WIL ROSCOE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

NOT RENEWED

Business

First Name

MARY SUSANNE WIL

Last Name

ROSCOE

Business Name

MARY SUSANNE WIL ROSCOE

Original Issue Date

01/01/1997

Expiration Date

07/31/1990

City

AURORA

State

Zip

60506

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006