LISA JEAN BURCKHARTZMEYER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129370

License Status

ACTIVE

Business

Title

First Name

LISA

Middle

JEAN

Last Name

BURCKHARTZMEYER

Business Name

LISA JEAN BURCKHARTZMEYER MD

Original Issue Date

12/16/2011

Effective Date

05/11/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

05/11/2023