SUSAN JEANNE AUSTIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121963

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

JEANNE

Last Name

AUSTIN

Suffix

Business Name

SUSAN JEANNE AUSTIN MD

Original Issue Date

09/17/2008

Effective Date

06/10/2014

Expiration Date

07/31/2017

City

SAINT LOUIS PARK

State

Zip

55424

County

MINNESOTA

Ever Disciplined

LastModifiedDate

11/01/2017