SUZANNE ELIZABETH ALT DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

ACTIVE

Business

Title

First Name

SUZANNE

Middle

ELIZABETH

Last Name

ALT

Business Name

SUZANNE ELIZABETH ALT DO

Original Issue Date

06/25/2020

Effective Date

04/21/2023

Expiration Date

07/31/2026

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/21/2023