DAVID MICHAEL BURT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111005

License Status

ACTIVE

Business

First Name

DAVID

Middle

MICHAEL

Last Name

BURT

Suffix

Business Name

DAVID MICHAEL BURT MD

Original Issue Date

03/15/2004

Effective Date

07/21/2023

Expiration Date

07/31/2026

City

PLAINFIELD

State

Zip

60585

County

WILL

Ever Disciplined

LastModifiedDate

07/21/2023