BASIL OMAR BURNEY - Medical Doctor License in Illinois | # 036121000

BASIL OMAR BURNEY

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121000

License Status

NOT RENEWED

Business

N

First Name

BASIL

Middle

OMAR

Last Name

BURNEY

Business Name

BASIL OMAR BURNEY

Original Issue Date

05/23/2008

Effective Date

05/23/2008

Expiration Date

07/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

11/14/2011