SUSAN BETH LANDRY DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111312

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

BETH

Last Name

LANDRY

Suffix

Business Name

SUSAN BETH LANDRY DO

Original Issue Date

05/19/2004

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

LONGMEADOW

State

Zip

01106

Ever Disciplined

LastModifiedDate

10/24/2014