KEITH LAWRENCE BURCHILL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

ACTIVE

Business

Title

First Name

KEITH

Middle

LAWRENCE

Last Name

BURCHILL

Business Name

KEITH LAWRENCE BURCHILL MD

Original Issue Date

06/08/2015

Effective Date

04/20/2023

Expiration Date

07/31/2026

City

HERRIN

State

Zip

62948

County

MARYLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/20/2023