HOLLIS ANN TRIPP BURGGRAF MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036145467

License Status

NOT RENEWED

Business

Title

First Name

HOLLIS

Middle

ANN TRIPP

Last Name

BURGGRAF

Business Name

HOLLIS ANN TRIPP BURGGRAF MD

Original Issue Date

03/26/2018

Effective Date

03/26/2018

Expiration Date

09/30/2020

City

PHOENIX

State

Zip

85003

Ever Disciplined

LastModifiedDate

01/14/2021