BRIAN JOHN BURGESS DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****11

License Status

ACTIVE

Business

Title

DPM

First Name

BRIAN

Middle

JOHN

Last Name

BURGESS

Business Name

BRIAN JOHN BURGESS DPM

Original Issue Date

04/20/2011

Effective Date

11/01/2024

Expiration Date

01/31/2027

City

NEW LENOX

State

Zip

60451

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025