MARC ANTHONY BURRELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036161662

License Status

ACTIVE

Business

Title

First Name

MARC

Middle

ANTHONY

Last Name

BURRELL

Business Name

MARC ANTHONY BURRELL MD

Original Issue Date

07/26/2022

Effective Date

07/15/2023

Expiration Date

07/31/2026

City

MEQUON

State

Zip

53092

Ever Disciplined

LastModifiedDate

07/15/2023