DAVID M BURCH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083934

License Status

INACTIVE

Business

First Name

DAVID M

Last Name

BURCH

Suffix

Business Name

DAVID M BURCH MD

Original Issue Date

01/25/1992

Effective Date

01/25/1992

Expiration Date

07/31/1993

City

APPLETON

State

Zip

54915

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/13/2014