LAURENCE IRA BURD MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****95

NOT RENEWED

N

LAURENCE IRA

BURD

MD

LAURENCE IRA BURD MD

08/25/1987

05/12/2014

07/31/2017

CHICAGO

IL

60612

COOK

II III IV V

N

04/05/2020