CLINTON JUDSON BURKETT Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045960

License Status

EXPIRED

Business

First Name

CLINTON

Middle

JUDSON

Last Name

BURKETT

Business Name

CLINTON JUDSON BURKETT

Original Issue Date

06/23/2003

Effective Date

06/23/2003

Expiration Date

06/22/2004

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006