BLAKE ANDREW BURKERT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064668

License Status

EXPIRED

Business

Title

First Name

BLAKE

Middle

ANDREW

Last Name

BURKERT

Business Name

BLAKE ANDREW BURKERT MD

Original Issue Date

06/24/2017

Effective Date

06/24/2017

Expiration Date

06/23/2019

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

10/02/2019