DALE FORREST BURTON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041738

License Status

NOT RENEWED

Business

First Name

DALE FORREST

Last Name

BURTON

Suffix

Business Name

DALE FORREST BURTON MD

Original Issue Date

07/01/1968

Effective Date

07/01/1968

Expiration Date

07/31/1993

City

HANNIBAL

State

Zip

63401

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006