LLOYD GEORGE BURGESS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027869

License Status

EXPIRED

Business

First Name

LLOYD GEORGE

Last Name

BURGESS

Business Name

LLOYD GEORGE BURGESS

Original Issue Date

05/04/1992

Effective Date

05/04/1992

Expiration Date

06/30/1995

City

PEORIA

State

Zip

61603

County

PEORIA

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006