MARTIN NICHOLAS BURKE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000459

License Status

EXPIRED

Business

Title

First Name

MARTIN

Middle

NICHOLAS

Last Name

BURKE

Business Name

MARTIN NICHOLAS BURKE MD

Original Issue Date

03/13/2012

Effective Date

03/13/2012

Expiration Date

09/12/2012

City

SPRINGFIELD

State

Zip

62781

County

SANGAMON

Specialty/Qualifier

Cardiovascular Disease

Ever Disciplined

LastModifiedDate

10/11/2012