FREDRIC MARTIN BIRCH MD - Medical Doctor License in Illinois | # 036059556

FREDRIC MARTIN BIRCH MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059556

License Status

NOT RENEWED

Business

N

First Name

FREDRIC MARTIN

Last Name

BIRCH

Suffix

MD

Business Name

FREDRIC MARTIN BIRCH MD

Original Issue Date

10/26/1979

Effective Date

10/26/1979

Expiration Date

07/31/1984

State

IL

Ever Disciplined

N

LastModifiedDate

09/20/2006