MARK K BURGESS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019020667

License Status

ACTIVE

Business

First Name

MARK K

Last Name

BURGESS

Business Name

MARK K BURGESS

Original Issue Date

07/25/1987

Effective Date

05/10/2024

Expiration Date

09/30/2027

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/10/2024