KOLLEEN P BURNETT DO - Medical Doctor License in Illinois | # 125039975

KOLLEEN P BURNETT DO

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039975

License Status

EXPIRED

Business

N

First Name

KOLLEEN

Middle

P

Last Name

BURNETT

Suffix

DO

Business Name

KOLLEEN P BURNETT DO

Original Issue Date

06/21/1999

Effective Date

06/21/1999

Expiration Date

06/21/2002

State

IL

Specialty/Qualifier

Pediatrics

Ever Disciplined

N

LastModifiedDate

09/22/2006