J DAVID BURGESS - Medical Doctor License in Illinois | # 125020657

J DAVID BURGESS

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020657

License Status

EXPIRED

Business

N

First Name

J DAVID

Last Name

BURGESS

Business Name

J DAVID BURGESS

Original Issue Date

05/02/1987

Effective Date

05/02/1987

Expiration Date

06/25/1990

State

IL

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

N

LastModifiedDate

09/22/2006