MICHELLE MINES BURK DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

ACTIVE

Business

Title

First Name

MICHELLE

Middle

MINES

Last Name

BURK

Business Name

MICHELLE MINES BURK DO

Original Issue Date

07/31/2002

Effective Date

06/29/2023

Expiration Date

07/31/2026

City

BREESE

State

Zip

62230

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/29/2023