JILL ANNE BURDEN DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122603

License Status

INACTIVE

Business

First Name

JILL

Middle

ANNE

Last Name

BURDEN

Suffix

Business Name

JILL ANNE BURDEN DO

Original Issue Date

02/11/2009

Effective Date

07/06/2011

Expiration Date

07/31/2014

City

TRAVERSE CITY

State

Zip

49696

County

MICHIGAN

Ever Disciplined

LastModifiedDate

04/08/2014