SUSAN J COLE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

ACTIVE

Business

First Name

SUSAN

Middle

Last Name

COLE

Suffix

Business Name

SUSAN J COLE MD

Original Issue Date

08/28/1981

Effective Date

09/06/2023

Expiration Date

07/31/2026

City

ONEIDA

State

Zip

61467

County

KNOX

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/06/2023