JEFFREY J BURKE DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****09

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

Last Name

BURKE

Suffix

DMD

Business Name

JEFFREY J BURKE DMD

Original Issue Date

10/05/2005

Effective Date

10/05/2005

Expiration Date

09/30/2006

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006