SUSAN HART WYATT MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036118208

License Status

INACTIVE

Business

First Name

SUSAN

Middle

HART

Last Name

WYATT

Suffix

Business Name

SUSAN HART WYATT MD

Original Issue Date

04/19/2007

Effective Date

07/15/2008

Expiration Date

07/31/2011

City

OWINGS MILLS

State

Zip

21117

County

MARYLAND

Ever Disciplined

LastModifiedDate

04/07/2011