GAYLE E BURCH MD FAC OG SC - Medical Corporation License in Illinois | # 042618147

GAYLE E BURCH MD FAC OG SC

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042618147

License Status

NOT RENEWED

Business

Y

Business Name

GAYLE E BURCH MD FAC OG SC

Original Issue Date

01/06/2004

Effective Date

01/06/2004

Expiration Date

01/01/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006