BURK JUBELT MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059132

License Status

INACTIVE

Business

First Name

BURK

Last Name

JUBELT

Suffix

Business Name

BURK JUBELT MD

Original Issue Date

08/20/1979

Effective Date

08/20/1979

Expiration Date

07/31/1990

City

SYRACUSE

State

Zip

13210

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006