SUSAN LOUISE STIPANUK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051484

License Status

NOT RENEWED

Business

First Name

SUSAN LOUISE

Last Name

STIPANUK

Suffix

Business Name

SUSAN LOUISE STIPANUK MD

Original Issue Date

08/15/1975

Effective Date

08/15/1975

Expiration Date

07/31/1987

City

EATON RAPIDS

State

Zip

48827

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/20/2006