MIRELLA SUSNJAR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

ACTIVE

Business

First Name

MIRELLA

Last Name

SUSNJAR

Suffix

Business Name

MIRELLA SUSNJAR MD

Original Issue Date

07/21/1997

Effective Date

05/16/2023

Expiration Date

07/31/2026

City

DIXON

State

Zip

61021

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/16/2023