SUZANNE M BURGE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

ACTIVE

Business

First Name

SUZANNE

Middle

Last Name

BURGE

Suffix

Business Name

SUZANNE M BURGE MD

Original Issue Date

03/30/2005

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

DU QUOIN

State

Zip

62832

County

PERRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/22/2023