BETHANY K BURGE MD - Medical Doctor License in Illinois | # 125060265

BETHANY K BURGE MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060265

License Status

CANCELLED

Business

N

Title

MD

First Name

BETHANY

Middle

K

Last Name

BURGE

Business Name

BETHANY K BURGE MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2016

State

IL

Specialty/Qualifier

Urology

Ever Disciplined

N

LastModifiedDate

04/30/2014