AUSTIN A BURNETT DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****26

License Status

NOT RENEWED

Business

Title

DMD

First Name

AUSTIN

Middle

Last Name

BURNETT

Business Name

AUSTIN A BURNETT DMD

Original Issue Date

12/03/2013

Effective Date

08/17/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018