JEFFERSON M BURROUGHS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017424

License Status

EXPIRED

Business

First Name

JEFFERSON M

Last Name

BURROUGHS

Suffix

Business Name

JEFFERSON M BURROUGHS MD

Original Issue Date

07/10/1984

Effective Date

07/10/1984

Expiration Date

07/01/1986

City

PEORIA

State

Zip

61636

County

PEORIA

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006