SARAH B BIRK DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036091958

License Status

INACTIVE

Business

First Name

SARAH

Middle

Last Name

BIRK

Suffix

Business Name

SARAH B BIRK DO

Original Issue Date

09/28/1995

Effective Date

06/12/2017

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

04/05/2020