JILL A BIRKHOLZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033164

License Status

EXPIRED

Business

First Name

JILL

Middle

Last Name

BIRKHOLZ

Suffix

Business Name

JILL A BIRKHOLZ MD

Original Issue Date

06/07/1995

Effective Date

06/07/1995

Expiration Date

06/30/1999

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006