SUSAN L MARTINI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088233

License Status

NOT RENEWED

Business

First Name

SUSAN L

Last Name

MARTINI

Suffix

Business Name

SUSAN L MARTINI MD

Original Issue Date

04/06/1994

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

SALT LAKE CITY

State

Zip

84158

Ever Disciplined

LastModifiedDate

11/06/2008