License holder summary

Michael Richard Burt is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Michael Richard Burt is CHS Pediatrics, 205 N. Tillotson Avenue, Muncie IN 47304. This licensed professional license is current. The license was granted 01/31/1986 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Michael Richard Burt
Controlled Substance Registration - Physician
License number
01028368B
Date granted
01/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
CHS Pediatrics, 205 N. Tillotson Avenue, Muncie IN 47304
indianalicensing.org
ID 5898984
LAST UPDATED 2024-02-26 15:27:38 UTC

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