ANTHONY WAYNE BURGESS MD - Medical Doctor License in Kansas | # 125057939

ANTHONY WAYNE BURGESS MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057939

License Status

EXPIRED

Business

N

Title

MD

First Name

ANTHONY

Middle

WAYNE

Last Name

BURGESS

Business Name

ANTHONY WAYNE BURGESS MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2013

State

KS

Specialty/Qualifier

Physical Medicine & Rehabilitation

Ever Disciplined

N

LastModifiedDate

10/07/2013