ROBERT D BURGOS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019115

License Status

EXPIRED

Business

First Name

ROBERT D

Last Name

BURGOS

Suffix

Business Name

ROBERT D BURGOS MD

Original Issue Date

02/01/1986

Effective Date

02/01/1986

Expiration Date

07/01/1988

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006