RICHARD KLEVEN BURT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036090001

License Status

ACTIVE

Business

First Name

RICHARD KLEVEN

Last Name

BURT

Suffix

Business Name

RICHARD KLEVEN BURT MD

Original Issue Date

12/13/1994

Effective Date

04/14/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

04/14/2023