SAMUEL ALLEN BURSTEIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

NOT RENEWED

Business

First Name

SAMUEL

Middle

ALLEN

Last Name

BURSTEIN

Suffix

Business Name

SAMUEL ALLEN BURSTEIN MD

Original Issue Date

10/05/2000

Effective Date

10/05/2000

Expiration Date

07/31/2008

City

GRANITE CITY

State

Zip

62040

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020