TATNAI LEONOR BURNETT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036133699

License Status

NOT RENEWED

Business

Title

First Name

TATNAI

Middle

LEONOR

Last Name

BURNETT

Business Name

TATNAI LEONOR BURNETT MD

Original Issue Date

08/02/2013

Effective Date

04/14/2014

Expiration Date

07/31/2017

City

SPRINGFIELD

State

Zip

62769

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/01/2017