JACK STANLEY BURTON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038112

License Status

INACTIVE

Business

First Name

JACK STANLEY

Last Name

BURTON

Suffix

Business Name

JACK STANLEY BURTON MD

Original Issue Date

09/27/1962

Effective Date

09/27/1962

Expiration Date

07/31/1999

City

ELMHURST

State

Zip

60126

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/20/2006