NATHAN RICHARD BURKLE DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064514

License Status

EXPIRED

Business

Title

First Name

NATHAN

Middle

RICHARD

Last Name

BURKLE

Business Name

NATHAN RICHARD BURKLE DO

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/19/2017