SUSAN J BURGE DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049417

License Status

EXPIRED

Business

First Name

SUSAN

Middle

Last Name

BURGE

Suffix

Business Name

SUSAN J BURGE DO

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

WORTHINGTON

State

Zip

56187

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/31/2008