PAUL KURTZ BURKHOLDER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

CANCELLED

Business

First Name

PAUL

Middle

KURTZ

Last Name

BURKHOLDER

Suffix

Business Name

PAUL KURTZ BURKHOLDER MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2008

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008