RALPH GEORGE BURNETT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036035632

License Status

NOT RENEWED

Business

First Name

RALPH GEORGE

Last Name

BURNETT

Suffix

Business Name

RALPH GEORGE BURNETT MD

Original Issue Date

01/30/1959

Effective Date

01/30/1959

City

KENOSHA

State

Zip

53140

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006