BRIAN THOMAS BURNS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

THOMAS

Last Name

BURNS

Suffix

Business Name

BRIAN THOMAS BURNS MD

Original Issue Date

05/23/2011

Effective Date

05/28/2014

Expiration Date

07/31/2017

City

MCLEANSBORO

State

Zip

62859

County

HAMILTON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017