MALCOLM ELIJAH BURKS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125082894

License Status

EXPIRED

Business

First Name

MALCOLM

Middle

ELIJAH

Last Name

BURKS

Business Name

MALCOLM ELIJAH BURKS

Original Issue Date

06/22/2023

Effective Date

06/22/2023

Expiration Date

06/21/2024

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

10/30/2024