JETTIE MARITA BURNETT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054069

License Status

NOT RENEWED

Business

First Name

JETTIE MARITA

Last Name

BURNETT

Suffix

Business Name

JETTIE MARITA BURNETT MD

Original Issue Date

01/13/1977

Effective Date

01/13/1977

Expiration Date

07/01/1982

City

LACROSSE

State

Zip

54601

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006