CARL PETER BIRK JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042482

License Status

NOT RENEWED

Business

First Name

CARL

Middle

PETER

Last Name

BIRK

Suffix

JR MD

Business Name

CARL PETER BIRK JR MD

Original Issue Date

05/22/1969

Effective Date

04/13/2011

Expiration Date

07/31/2014

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

11/17/2014