SUSAN B RAMIRO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

NOT RENEWED

Business

First Name

SUSAN B

Last Name

RAMIRO

Business Name

SUSAN B RAMIRO

Original Issue Date

09/14/1995

Effective Date

09/14/1995

Expiration Date

07/31/1999

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020