BASIL OMAR BURNEY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121000

License Status

NOT RENEWED

Business

First Name

BASIL

Middle

OMAR

Last Name

BURNEY

Business Name

BASIL OMAR BURNEY

Original Issue Date

05/23/2008

Effective Date

05/23/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011