SUSAN M BIRD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

ACTIVE

Business

First Name

SUSAN M

Last Name

BIRD

Suffix

Business Name

SUSAN M BIRD MD

Original Issue Date

04/22/1994

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/22/2023