GAYLE E BURCH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

NOT RENEWED

Business

First Name

GAYLE

Middle

Last Name

BURCH

Business Name

GAYLE E BURCH

Original Issue Date

09/30/2003

Effective Date

09/30/2003

Expiration Date

07/31/2008

City

GREENVILLE

State

Zip

62246

County

BOND

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

11/06/2008