SUSAN B RAMIRO 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

SUSAN B

Last Name

RAMIRO

Business Name

SUSAN B RAMIRO

Original Issue Date

09/14/1995

Effective Date

04/29/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61637

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/29/2023