SAMUEL ALLEN 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

SAMUEL

Middle

ALLEN

Last Name

BURSTEIN

Suffix

Business Name

SAMUEL ALLEN BURSTEIN MD

Original Issue Date

09/07/1999

Effective Date

07/24/2017

Expiration Date

09/30/2020

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021