SUZANNE M RILEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

NOT RENEWED

Business

First Name

SUZANNE M

Last Name

RILEY

Suffix

Business Name

SUZANNE M RILEY MD

Original Issue Date

03/07/1991

Effective Date

03/07/1991

Expiration Date

07/31/1993

City

MILLSTADT

State

Zip

62260

County

SAINT CLAIR

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/26/2006