KEITH A BURGARD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105046

License Status

ACTIVE

Business

First Name

KEITH

Middle

Last Name

BURGARD

Suffix

Business Name

KEITH A BURGARD MD

Original Issue Date

06/26/2001

Effective Date

04/28/2023

Expiration Date

07/31/2026

City

HINES

State

Zip

60141

County

COOK

Ever Disciplined

LastModifiedDate

04/28/2023