MARY E BOURLAND MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076458

License Status

NOT RENEWED

Business

First Name

MARY E

Last Name

BOURLAND

Suffix

Business Name

MARY E BOURLAND MD

Original Issue Date

12/12/1987

Effective Date

12/12/1987

Expiration Date

07/31/1993

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/20/2006