SUSAN J BURGE DO - Medical Doctor License in Minnesota | # 125049417

SUSAN J BURGE DO

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049417

License Status

EXPIRED

Business

N

First Name

SUSAN

Middle

J

Last Name

BURGE

Suffix

DO

Business Name

SUSAN J BURGE DO

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

State

MN

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

07/31/2008