ANTHONY WAYNE BURGESS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057939

License Status

EXPIRED

Business

Title

First Name

ANTHONY

Middle

WAYNE

Last Name

BURGESS

Business Name

ANTHONY WAYNE BURGESS MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2013

City

PRAIRIE VILLAGE

State

Zip

66208

Specialty/Qualifier

Physical Medicine & Rehabilitation

Ever Disciplined

LastModifiedDate

10/07/2013