TUCKER VAN RENSSELAER BURR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069890

License Status

EXPIRED

Business

Title

First Name

TUCKER

Middle

VAN RENSSELAER

Last Name

BURR

Business Name

TUCKER VAN RENSSELAER BURR MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2022

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

10/11/2022