SUSAN BAJIE GEORGE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

BAJIE

Last Name

GEORGE

Suffix

Business Name

SUSAN BAJIE GEORGE MD

Original Issue Date

10/19/2006

Effective Date

04/05/2011

Expiration Date

07/31/2014

City

CENTRALIA

State

Zip

62801

County

MARION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014