DARCIE MAE BURTON DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074700

License Status

CANCELLED

Business

Title

First Name

DARCIE

Middle

MAE

Last Name

BURTON

Business Name

DARCIE MAE BURTON DO

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

09/07/2022

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/23/2019