MAXWELL HARRISON SANFILIPPO-BURCHMAN MD 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

MAXWELL

Middle

HARRISON

Last Name

SANFILIPPO-BURCHMAN

Business Name

MAXWELL HARRISON SANFILIPPO-BURCHMAN MD

Original Issue Date

12/12/2022

Effective Date

07/04/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63110

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/04/2023