ALYSSA MARIE UPHOFF BURGART MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131673

License Status

NOT RENEWED

Business

Title

First Name

ALYSSA MARIE

Middle

UPHOFF

Last Name

BURGART

Business Name

ALYSSA MARIE UPHOFF BURGART MD

Original Issue Date

11/01/2012

Effective Date

06/10/2014

Expiration Date

07/31/2017

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017