MICHELE JENNIFER ANN BURGESS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

NOT RENEWED

Business

First Name

MICHELE

Middle

JENNIFER ANN

Last Name

BURGESS

Suffix

Business Name

MICHELE JENNIFER ANN BURGESS MD

Original Issue Date

04/09/2003

Effective Date

12/08/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60602

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023