DEAN B BURGESS MD

Business Entity
CANCELLED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****33

CANCELLED

N

DEAN B

BURGESS

MD

DEAN B BURGESS MD

07/20/1993

07/20/1993

07/31/2008

MOUNT VERNON

IL

62864

JEFFERSON

II III IV V

N

04/17/2008