SUSAN LOUISE STIPANUK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

CANCELLED

Business

First Name

SUSAN LOUISE

Last Name

STIPANUK

Suffix

Business Name

SUSAN LOUISE STIPANUK MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

EATON RAPIDS

State

Zip

48827

County

MICHIGAN

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/26/2006