BETHANY K BURGE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036140193

License Status

NOT RENEWED

Business

Title

First Name

BETHANY

Middle

Last Name

BURGE

Business Name

BETHANY K BURGE MD

Original Issue Date

03/29/2016

Effective Date

05/12/2020

Expiration Date

07/31/2023

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023