MARY E BOURLAND MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019246

License Status

EXPIRED

Business

First Name

MARY E

Last Name

BOURLAND

Suffix

Business Name

MARY E BOURLAND MD

Original Issue Date

05/22/1986

Effective Date

05/22/1986

Expiration Date

07/01/1989

City

SPRINGFIELD

State

Zip

62708

County

SANGAMON

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006