SUSAN E COLEMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

COLEMAN

Suffix

Business Name

SUSAN E COLEMAN MD

Original Issue Date

02/06/2007

Effective Date

02/06/2007

Expiration Date

07/31/2008

City

DECATUR

State

Zip

62526

County

MACON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008