TATNAI LEONOR BURNETT MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062744

License Status

CANCELLED

Business

Title

First Name

TATNAI

Middle

LEONOR

Last Name

BURNETT

Business Name

TATNAI LEONOR BURNETT MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2015

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Minimally Invasive Surgery

Ever Disciplined

LastModifiedDate

05/13/2013