PAIGE GAIL BURNIA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074776

License Status

CANCELLED

Business

Title

First Name

PAIGE

Middle

GAIL

Last Name

BURNIA

Business Name

PAIGE GAIL BURNIA MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2024

City

PEORIA

State

Zip

61605

County

ADAMS

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

04/26/2022