FREDRIC MARTIN BIRCH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059556

License Status

NOT RENEWED

Business

First Name

FREDRIC MARTIN

Last Name

BIRCH

Suffix

Business Name

FREDRIC MARTIN BIRCH MD

Original Issue Date

10/26/1979

Effective Date

10/26/1979

Expiration Date

07/31/1984

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/20/2006