MARY ELIZABETH BURDICK DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000462

License Status

EXPIRED

Business

First Name

MARY

Middle

ELIZABETH

Last Name

BURDICK

Suffix

Business Name

MARY ELIZABETH BURDICK DO

Original Issue Date

10/20/1999

Effective Date

10/20/1999

Expiration Date

12/19/1999

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/25/2006