ADAM JOSEPH BURNETT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****42

License Status

NOT RENEWED

Business

Title

DDS

First Name

ADAM

Middle

JOSEPH

Last Name

BURNETT

Business Name

ADAM JOSEPH BURNETT DDS

Original Issue Date

09/05/2017

Effective Date

07/16/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60647

County

NEW MEXICO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022