SUSAN J HINES MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036081003

License Status

INACTIVE

Business

First Name

SUSAN J

Last Name

HINES

Suffix

Business Name

SUSAN J HINES MD

Original Issue Date

07/17/1990

Effective Date

07/17/1990

Expiration Date

07/31/1993

City

WINSTON-SALEM

State

Zip

27103

County

NORTH CAROLINA

Ever Disciplined

LastModifiedDate

09/20/2006