KEITH A BURGARD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038053

License Status

EXPIRED

Business

First Name

KEITH

Middle

Last Name

BURGARD

Suffix

Business Name

KEITH A BURGARD MD

Original Issue Date

07/01/1998

Effective Date

07/01/1998

Expiration Date

06/21/2001

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006