SUZANNE S WHITE Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****30

License Status

ACTIVE

Business

First Name

SUZANNE

Middle

Last Name

WHITE

Business Name

SUZANNE S WHITE

Original Issue Date

03/18/2003

Effective Date

12/02/2024

Expiration Date

01/31/2027

City

PEORIA

State

Zip

61615

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025