BRIAN JOHN BURGESS DPM - Podiatrist License in Illinois | # 135000678

BRIAN JOHN BURGESS DPM

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000678

License Status

EXPIRED

Business

N

Title

DPM

First Name

BRIAN

Middle

JOHN

Last Name

BURGESS

Business Name

BRIAN JOHN BURGESS DPM

Original Issue Date

06/16/2009

Effective Date

06/30/2010

Expiration Date

06/30/2011

State

IL

Ever Disciplined

N

LastModifiedDate

07/19/2011