RICHARD ELY BURGESS MD - Medical Doctor License in Illinois | # 036133825

RICHARD ELY BURGESS MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036133825

License Status

NOT RENEWED

Business

N

Title

MD

First Name

RICHARD

Middle

ELY

Last Name

BURGESS

Business Name

RICHARD ELY BURGESS MD

Original Issue Date

08/20/2013

Effective Date

06/05/2017

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/14/2021