NATHAN RICHARD BURKLE DO - Medical Doctor License in Illinois | # 125064514

NATHAN RICHARD BURKLE DO

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064514

License Status

EXPIRED

Business

N

Title

DO

First Name

NATHAN

Middle

RICHARD

Last Name

BURKLE

Business Name

NATHAN RICHARD BURKLE DO

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

09/19/2017