The holder whose full name is MONTGOMERY, BURTIS EDGAR,come from HARRISBURG IL,hold the Physician license(NO.01021923A) which status is Expired Non-Renewable.
| Name | MONTGOMERY, BURTIS EDGAR |
|---|---|
| License Number | 01021923A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | HARRISBURG |
| State | IL |