PHILLIP E BURNS - Medical Doctor License in Illinois | # 125031126

PHILLIP E BURNS

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031126

License Status

EXPIRED

Business

N

First Name

PHILLIP

Middle

E

Last Name

BURNS

Business Name

PHILLIP E BURNS

Original Issue Date

05/13/1994

Effective Date

05/13/1994

Expiration Date

06/30/1997

State

IL

Specialty/Qualifier

Pediatrics

Ever Disciplined

N

LastModifiedDate

09/22/2006