EMILY JANE BURDICK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126215

License Status

NOT RENEWED

Business

First Name

EMILY

Middle

JANE

Last Name

BURDICK

Suffix

Business Name

EMILY JANE BURDICK MD

Original Issue Date

07/08/2010

Effective Date

05/02/2011

Expiration Date

07/31/2014

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

11/17/2014