BETHANY K BURGE MD - Pharmacist License in Illinois | # 049171507

BETHANY K BURGE MD

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049171507

License Status

NOT RENEWED

Business

N

Title

MD

First Name

BETHANY

Middle

K

Last Name

BURGE

Business Name

BETHANY K BURGE MD

Original Issue Date

09/20/2006

Effective Date

01/09/2007

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008