JAMES T BURT - Medical Doctor License in Illinois | # 125021705

JAMES T BURT

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021705

License Status

EXPIRED

Business

N

First Name

JAMES

Middle

T

Last Name

BURT

Business Name

JAMES T BURT

Original Issue Date

08/24/1987

Effective Date

08/24/1987

Expiration Date

07/29/1990

State

IL

Specialty/Qualifier

General Surgery

Ever Disciplined

N

LastModifiedDate

05/29/2007