JENNIFER J. BURKE-KRIEG DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

NOT RENEWED

Business

Title

First Name

JENNIFER

Middle

Last Name

BURKE-KRIEG

Business Name

JENNIFER J. BURKE-KRIEG DO

Original Issue Date

04/11/2014

Effective Date

04/11/2014

Expiration Date

07/31/2017

City

PORTLAND

State

Zip

97217

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017