JOSHUA GRAHAM BURKHARDT DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

NOT RENEWED

Business

Title

First Name

JOSHUA

Middle

GRAHAM

Last Name

BURKHARDT

Business Name

JOSHUA GRAHAM BURKHARDT DO

Original Issue Date

03/26/2015

Effective Date

03/26/2015

Expiration Date

07/31/2017

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017