JOSHUA GRAHAM BURKHARDT DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061117

License Status

CANCELLED

Business

Title

First Name

JOSHUA

Middle

GRAHAM

Last Name

BURKHARDT

Business Name

JOSHUA GRAHAM BURKHARDT DO

Original Issue Date

06/26/2012

Effective Date

06/26/2012

Expiration Date

06/25/2015

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

03/24/2014