MICHAEL R BURT MD - Medical Doctor License in Illinois | # 188000938

MICHAEL R BURT MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000938

License Status

EXPIRED

Business

N

Title

MD

First Name

MICHAEL

Middle

R

Last Name

BURT

Business Name

MICHAEL R BURT MD

Original Issue Date

05/01/2021

Effective Date

05/01/2021

Expiration Date

10/31/2021

State

IL

Specialty/Qualifier

Trauma Rotation

Ever Disciplined

N

LastModifiedDate

10/11/2022