BOB R BURRIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

NOT RENEWED

Business

First Name

BOB R

Last Name

BURRIS

Suffix

Business Name

BOB R BURRIS MD

Original Issue Date

01/01/1997

Effective Date

04/28/2014

Expiration Date

07/31/2017

City

WOOD RIVER

State

Zip

62095

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017