JACK MEHL BURNETT MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036034694

License Status

INACTIVE

Business

First Name

JACK MEHL

Last Name

BURNETT

Suffix

Business Name

JACK MEHL BURNETT MD

Original Issue Date

08/13/1957

Effective Date

08/13/1957

Expiration Date

07/31/1987

City

PARADISE VALLEY

State

Zip

85253

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/20/2006