RICHARD J BURKE Dentist License verification

Business Entity

INOPERATIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****02

License Status

INOPERATIVE

Business

First Name

RICHARD J

Last Name

BURKE

Business Name

RICHARD J BURKE

Original Issue Date

01/01/1998

Expiration Date

09/30/2000

City

LOMBARD

State

Zip

60148

County

DUPAGE

Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

10/13/2005