ALLEN COLE BURKS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

NOT RENEWED

Business

First Name

ALLEN

Middle

COLE

Last Name

BURKS

Suffix

Business Name

ALLEN COLE BURKS MD

Original Issue Date

11/03/2009

Effective Date

11/03/2009

Expiration Date

07/31/2011

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011