KOLLEEN P BURNETT DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039975

License Status

EXPIRED

Business

First Name

KOLLEEN

Middle

Last Name

BURNETT

Suffix

Business Name

KOLLEEN P BURNETT DO

Original Issue Date

06/21/1999

Effective Date

06/21/1999

Expiration Date

06/21/2002

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006