ALYSSA MARIE UPHOFF BURGART MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058154

License Status

CANCELLED

Business

Title

First Name

ALYSSA MARIE

Middle

UPHOFF

Last Name

BURGART

Business Name

ALYSSA MARIE UPHOFF BURGART MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2013

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

05/03/2010