DAVID MICHAEL BURT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

ACTIVE

Business

First Name

DAVID

Middle

MICHAEL

Last Name

BURT

Suffix

Business Name

DAVID MICHAEL BURT MD

Original Issue Date

05/20/2004

Effective Date

07/21/2023

Expiration Date

07/31/2026

City

BURR RIDGE

State

Zip

60585

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/21/2023