SUSAN E MYERS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

CANCELLED

Business

First Name

SUSAN

Middle

Last Name

MYERS

Suffix

Business Name

SUSAN E MYERS MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

07/31/2011

City

MARYVILLE

State

Zip

62062

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011