SUSAN CAROL MINIKEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121929

License Status

NOT RENEWED

Business

Title

First Name

SUSAN

Middle

CAROL

Last Name

MINIKEL

Business Name

SUSAN CAROL MINIKEL MD

Original Issue Date

09/10/2008

Effective Date

06/16/2014

Expiration Date

07/31/2017

City

BROOKFIELD

State

Zip

53005

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/01/2017