SUSY ALIAS MD
Licensed Physician Controlled Substance (Schedules Ii Iii Iin Iiin Iv V )
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 The license is no longer active.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 (Schedules II III IIN IIIN IV V )
- 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