DALE FORREST BURTON MD - Medical Doctor License in Missouri | # 036041738

DALE FORREST BURTON MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041738

License Status

NOT RENEWED

Business

N

First Name

DALE FORREST

Last Name

BURTON

Suffix

MD

Business Name

DALE FORREST BURTON MD

Original Issue Date

07/01/1968

Effective Date

07/01/1968

Expiration Date

07/31/1993

State

MO

Ever Disciplined

N

LastModifiedDate

09/20/2006