LISA JEAN BURCKHARTZMEYER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

ACTIVE

Business

Title

First Name

LISA

Middle

JEAN

Last Name

BURCKHARTZMEYER

Business Name

LISA JEAN BURCKHARTZMEYER MD

Original Issue Date

12/16/2011

Effective Date

05/11/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61615

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/11/2023