DEAN B BURGESS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036085940

License Status

INACTIVE

Business

First Name

DEAN B

Last Name

BURGESS

Suffix

Business Name

DEAN B BURGESS MD

Original Issue Date

04/01/1993

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

MT. VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

04/17/2008