BETHANY BREE BURKHART MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

NOT RENEWED

Business

Title

First Name

BETHANY

Middle

BREE

Last Name

BURKHART

Business Name

BETHANY BREE BURKHART MD

Original Issue Date

04/19/2012

Effective Date

04/19/2012

Expiration Date

07/31/2014

City

WAUKEGAN

State

Zip

60085

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017