Mitra Susan Shultz
ExpiredIllinois license 38*****74
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 38*****74
- Status
- Expired (Not Renewed)
- First issued
- January 2, 2018
- Expired
- March 1, 2026
- License holder
- Mitra Susan Shultz
- Entity type
- Individual
Classifications
- Physician Assistant Controlled Substance Physicians & Surgeons
More from the license record
- Delegated controlled substance schedules
- II III IV V
- Current term began
- 12/16/2023
Other Illinois licenses under this name
-
IL
ExpiredGlen Carbon, ILExpired Mar 1, 2026
Contact
Granite City, IL 62040
Madison County