JILL A BIRKHOLZ MD - Medical Doctor License in Illinois | # 125033164

JILL A BIRKHOLZ MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033164

License Status

EXPIRED

Business

N

First Name

JILL

Middle

A

Last Name

BIRKHOLZ

Suffix

MD

Business Name

JILL A BIRKHOLZ MD

Original Issue Date

06/07/1995

Effective Date

06/07/1995

Expiration Date

06/30/1999

State

IL

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

N

LastModifiedDate

09/22/2006