SUSAN C COVENTRY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036084297

License Status

NOT RENEWED

Business

First Name

SUSAN C

Last Name

COVENTRY

Suffix

Business Name

SUSAN C COVENTRY MD

Original Issue Date

04/24/1992

Effective Date

04/24/1992

Expiration Date

07/31/1999

City

LOUISVILLE

State

Zip

40207

County

KENTUCKY

Ever Disciplined

LastModifiedDate

09/20/2006