SUSAN JEAN SVIENTEK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

ACTIVE

Business

First Name

SUSAN JEAN

Last Name

SVIENTEK

Suffix

Business Name

SUSAN JEAN SVIENTEK MD

Original Issue Date

03/13/1995

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

NORMAL

State

Zip

61761

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2023