RICHARD KLEVEN BURT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

First Name

RICHARD KLEVEN

Last Name

BURT

Suffix

Business Name

RICHARD KLEVEN BURT MD

Original Issue Date

04/10/1995

Effective Date

04/10/1995

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020