TATNAI LEONOR BURNETT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

NOT RENEWED

Business

Title

First Name

TATNAI

Middle

LEONOR

Last Name

BURNETT

Business Name

TATNAI LEONOR BURNETT MD

Original Issue Date

11/14/2013

Effective Date

04/14/2014

Expiration Date

07/31/2017

City

SPRINGFIELD

State

Zip

62769

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017