DANIELLE THERESA BAIR BURKETT Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052664

License Status

EXPIRED

Business

First Name

DANIELLE

Middle

THERESA BAIR

Last Name

BURKETT

Business Name

DANIELLE THERESA BAIR BURKETT

Original Issue Date

06/25/2010

Effective Date

06/25/2010

Expiration Date

06/24/2011

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

07/19/2011