MARY ELIZABETH BURDICK DO - Medical Doctor License in Illinois | # 130000462

MARY ELIZABETH BURDICK DO

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000462

License Status

EXPIRED

Business

N

First Name

MARY

Middle

ELIZABETH

Last Name

BURDICK

Suffix

DO

Business Name

MARY ELIZABETH BURDICK DO

Original Issue Date

10/20/1999

Effective Date

10/20/1999

Expiration Date

12/19/1999

State

IL

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

N

LastModifiedDate

09/25/2006