SUZANNE WESTBROOK VAN LANDINGHAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

ACTIVE

Business

Title

First Name

SUZANNE

Middle

WESTBROOK

Last Name

VAN LANDINGHAM

Business Name

SUZANNE WESTBROOK VAN LANDINGHAM MD

Original Issue Date

08/07/2019

Effective Date

06/01/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/01/2023