ERIC P BURSETH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125013200

License Status

EXPIRED

Business

First Name

ERIC P

Last Name

BURSETH

Suffix

Business Name

ERIC P BURSETH MD

Original Issue Date

06/30/1981

Effective Date

06/30/1981

Expiration Date

06/22/1983

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006