SUSAN J CARMODY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

ACTIVE

Business

First Name

SUSAN J

Last Name

CARMODY

Suffix

Business Name

SUSAN J CARMODY MD

Original Issue Date

02/07/1996

Effective Date

07/15/2023

Expiration Date

07/31/2026

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/15/2023