GERALD WAYNE BURKETT - Dentist License in Illinois | # 019010071

GERALD WAYNE BURKETT

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010071

License Status

INACTIVE

Business

N

First Name

GERALD WAYNE

Last Name

BURKETT

Business Name

GERALD WAYNE BURKETT

Original Issue Date

08/18/1952

Effective Date

08/18/1952

Expiration Date

09/30/2000

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005