SUSAN JEAN SVIENTEK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

NOT RENEWED

Business

First Name

SUSAN JEAN

Last Name

SVIENTEK

Suffix

Business Name

SUSAN JEAN SVIENTEK MD

Original Issue Date

09/14/2000

Effective Date

09/14/2000

Expiration Date

07/31/2002

City

SPARTA

State

Zip

62286

County

RANDOLPH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020