BURGESS CHRISTIANSEN WILSON MD CHARTERED - Medical Corporation License in Illinois | # 042618326

BURGESS CHRISTIANSEN WILSON MD CHARTERED

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042618326

License Status

NOT RENEWED

Business

Y

Business Name

BURGESS CHRISTIANSEN WILSON MD CHARTERED

Original Issue Date

09/10/2004

Effective Date

01/09/2019

Expiration Date

01/01/2022

State

IL

Ever Disciplined

N

LastModifiedDate

02/15/2023