LAVIAS MARTEZ BURNS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109909

License Status

NOT RENEWED

Business

First Name

LAVIAS

Middle

MARTEZ

Last Name

BURNS

Suffix

Business Name

LAVIAS MARTEZ BURNS MD

Original Issue Date

08/12/2003

Effective Date

05/14/2020

Expiration Date

07/31/2023

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

11/30/2023