JERRY NEAL BURTON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****42

License Status

NOT RENEWED

Business

First Name

JERRY NEAL

Last Name

BURTON

Business Name

JERRY NEAL BURTON

Original Issue Date

09/23/1998

Effective Date

09/23/1998

Expiration Date

09/30/2000

City

GURNEE

State

Zip

60031

County

LAKE

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/17/2005