SHANE PATRICK BURKE MD - Medical Doctor License in Illinois | # 125071245

SHANE PATRICK BURKE MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071245

License Status

CANCELLED

Business

N

Title

MD

First Name

SHANE

Middle

PATRICK

Last Name

BURKE

Business Name

SHANE PATRICK BURKE MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2020

State

IL

Specialty/Qualifier

Psychiatry

Ever Disciplined

N

LastModifiedDate

05/18/2017