ROBERT E BURDGE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

NOT RENEWED

Business

First Name

ROBERT E

Last Name

BURDGE

Business Name

ROBERT E BURDGE

Original Issue Date

05/02/1995

Effective Date

05/02/1995

Expiration Date

07/31/1999

City

EAST ST LOUIS

State

Zip

62201

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006