SAMUEL R BURNHAM DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019034854

License Status

ACTIVE

Business

Title

DDS

First Name

SAMUEL

Middle

Last Name

BURNHAM

Business Name

SAMUEL R BURNHAM DDS

Original Issue Date

02/08/2024

Effective Date

07/23/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

07/23/2024