TERRY ALLEN BURKE DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****37

License Status

CANCELLED

Business

First Name

TERRY ALLEN

Last Name

BURKE

Suffix

DDS

Business Name

TERRY ALLEN BURKE DDS

Original Issue Date

01/01/1998

Expiration Date

06/01/1982

City

MIDDLETON

State

Zip

53562

County

WISCONSIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005