RODOLFO G BURGOS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048651

License Status

NOT RENEWED

Business

First Name

RODOLFO G

Last Name

BURGOS

Suffix

Business Name

RODOLFO G BURGOS MD

Original Issue Date

02/05/1974

Effective Date

02/05/1974

City

BROOKFIELD

State

Zip

63005

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006