SAMUEL ALLEN BURSTEIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100615

License Status

NOT RENEWED

Business

First Name

SAMUEL

Middle

ALLEN

Last Name

BURSTEIN

Suffix

Business Name

SAMUEL ALLEN BURSTEIN MD

Original Issue Date

07/12/1999

Effective Date

07/24/2017

Expiration Date

09/30/2020

City

SWANSEA

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

01/14/2021