JERRY R BURGER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000009

License Status

NOT RENEWED

Business

First Name

JERRY R

Last Name

BURGER

Business Name

JERRY R BURGER

Original Issue Date

11/08/1980

Effective Date

11/08/1980

Expiration Date

03/01/1986

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Ever Disciplined

LastModifiedDate

09/26/2006