SUSAN LYNNE REBSAMEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

ACTIVE

Business

Title

First Name

SUSAN

Middle

LYNNE

Last Name

REBSAMEN

Business Name

SUSAN LYNNE REBSAMEN MD

Original Issue Date

05/18/2019

Effective Date

05/23/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/23/2023