LAWRENCE GORDON BURCH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054127

License Status

NOT RENEWED

Business

First Name

LAWRENCE GORDON

Last Name

BURCH

Suffix

Business Name

LAWRENCE GORDON BURCH MD

Original Issue Date

02/15/1977

Effective Date

07/02/2014

Expiration Date

07/31/2017

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

11/01/2017