SUSAN J MORRIS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

NOT RENEWED

Business

First Name

SUSAN J

Last Name

MORRIS

Business Name

SUSAN J MORRIS

Original Issue Date

12/18/1996

Effective Date

12/18/1996

Expiration Date

07/31/2005

City

PEORIA

State

Zip

61603

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006