WILLIAM A BIRGE DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****84

NOT RENEWED

N

WILLIAM

A

BIRGE

DO

WILLIAM A BIRGE DO

02/14/1984

02/14/1984

07/31/1987

GRANITE CITY

IL

62040

MADISON

II III IV V

N

09/26/2006