MICHELLE BERNICE BURNS DO - Medical Doctor License in Illinois | # 125030869

MICHELLE BERNICE BURNS DO

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030869

License Status

EXPIRED

Business

N

First Name

MICHELLE BERNICE

Last Name

BURNS

Suffix

DO

Business Name

MICHELLE BERNICE BURNS DO

Original Issue Date

04/27/1994

Effective Date

04/27/1994

Expiration Date

06/20/1997

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006