JEFFREY S BURKETT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

Last Name

BURKETT

Suffix

Business Name

JEFFREY S BURKETT MD

Original Issue Date

03/11/1992

Effective Date

03/11/1992

Expiration Date

07/31/1996

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006