SUSY ALIAS MD
Licensed Physician Controlled Substance
Illinois 336057372 Not Renewed
This Illinois license was held by SUSY ALIAS MD. The license is no longer active. It was granted on 12/15/1997 and expired on 07/31/2005
LICENSE DETAILS
- License Number: 336057372
- Category: LICENSED PHYSICIAN CONTROLLED SUBSTANCE
- Status: Not Renewed
- Date Granted: 12/15/1997 (over 27 years ago)
- Expiry Date: 07/31/2005 (almost 20 years ago)
LOCATIONS
A Address
GRANITE CITY, IL 62040