PAUL E BURK DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036090764

License Status

NOT RENEWED

Business

First Name

PAUL E

Last Name

BURK

Suffix

Business Name

PAUL E BURK DO

Original Issue Date

05/25/1995

Effective Date

10/03/2017

Expiration Date

09/30/2020

City

WOOD RIVER

State

Zip

62095

County

MADISON

Ever Disciplined

LastModifiedDate

01/14/2021