TERRY JOE BURK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

ACTIVE

Business

First Name

TERRY

Middle

JOE

Last Name

BURK

Suffix

Business Name

TERRY JOE BURK MD

Original Issue Date

06/20/2012

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

MARYVILLE

State

Zip

62062

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023