TAMIKA MARQUITTA BURRUS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

NOT RENEWED

Business

Title

First Name

TAMIKA

Middle

MARQUITTA

Last Name

BURRUS

Business Name

TAMIKA MARQUITTA BURRUS MD

Original Issue Date

10/28/2013

Effective Date

10/28/2013

Expiration Date

07/31/2014

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020