MICHELE JENNIFER ANN BURGESS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108708

License Status

NOT RENEWED

Business

First Name

MICHELE

Middle

JENNIFER ANN

Last Name

BURGESS

Suffix

Business Name

MICHELE JENNIFER ANN BURGESS MD

Original Issue Date

03/04/2003

Effective Date

06/26/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60602

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023