KISHA LASHAUN BURGESS DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036169759

License Status

ACTIVE

Business

Title

First Name

KISHA

Middle

LASHAUN

Last Name

BURGESS

Business Name

KISHA LASHAUN BURGESS DO

Original Issue Date

04/09/2024

Effective Date

04/09/2024

Expiration Date

07/31/2026

City

SMYRNA

State

Zip

30080

Ever Disciplined

LastModifiedDate

04/09/2024