KELLY LYNN BURKERT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

LYNN

Last Name

BURKERT

Suffix

Business Name

KELLY LYNN BURKERT MD

Original Issue Date

03/02/2006

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011