NICHOLAS EDWARD BURJEK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064195

License Status

CANCELLED

Business

First Name

NICHOLAS

Middle

EDWARD

Last Name

BURJEK

Suffix

Business Name

NICHOLAS EDWARD BURJEK MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2017

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

Pediatric Anesthesiology

Ever Disciplined

LastModifiedDate

01/12/2016