SUZANNE S WHITE Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000484

License Status

EXPIRED

Business

First Name

SUZANNE

Middle

Last Name

WHITE

Business Name

SUZANNE S WHITE

Original Issue Date

06/19/2001

Effective Date

06/19/2001

Expiration Date

06/30/2003

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

09/25/2006