DAVID M BURSTEIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

BURSTEIN

Suffix

Business Name

DAVID M BURSTEIN MD

Original Issue Date

06/07/2004

Effective Date

06/07/2004

Expiration Date

07/31/2005

City

NILES

State

Zip

60714

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006