BURNETTA E HERRON Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

ACTIVE

Business

First Name

BURNETTA

Middle

Last Name

HERRON

Business Name

BURNETTA E HERRON

Original Issue Date

02/15/2000

Effective Date

05/19/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60653

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/19/2023