JESSE GEORGE SUSI MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097621

License Status

INACTIVE

Business

First Name

JESSE

Middle

GEORGE

Last Name

SUSI

Suffix

Business Name

JESSE GEORGE SUSI MD

Original Issue Date

04/06/1998

Effective Date

04/06/1998

Expiration Date

07/31/2002

City

ST. LOUIS

State

Zip

63117

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006