NICOLE DENISE BURTON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

ACTIVE

Business

First Name

NICOLE

Middle

DENISE

Last Name

BURTON

Suffix

Business Name

NICOLE DENISE BURTON MD

Original Issue Date

10/25/2011

Effective Date

05/03/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60610

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/03/2023