SUSAN MAY WILTRAKIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

ACTIVE

Business

Title

First Name

SUSAN

Middle

MAY

Last Name

WILTRAKIS

Business Name

SUSAN MAY WILTRAKIS MD

Original Issue Date

06/24/2023

Effective Date

06/24/2023

Expiration Date

07/31/2026

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/24/2023