MARY E BOURLAND MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

NOT RENEWED

Business

First Name

MARY E

Last Name

BOURLAND

Suffix

Business Name

MARY E BOURLAND MD

Original Issue Date

10/24/1988

Effective Date

10/24/1988

Expiration Date

07/31/1993

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006