CARL PETER BIRK JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

NOT RENEWED

Business

First Name

CARL

Middle

PETER

Last Name

BIRK

Suffix

JR MD

Business Name

CARL PETER BIRK JR MD

Original Issue Date

01/01/1997

Effective Date

07/25/2011

Expiration Date

07/31/2014

City

DECATUR

State

Zip

62526

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014