SUSAN J MARSHALL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036075169

License Status

NOT RENEWED

Business

Title

First Name

SUSAN

Middle

Last Name

MARSHALL

Business Name

SUSAN J MARSHALL MD

Original Issue Date

06/11/1987

Effective Date

06/11/1987

Expiration Date

07/31/1990

City

DITTMER

State

Zip

63023

Ever Disciplined

LastModifiedDate

12/20/2013