JERRY EDWIN BERTOLINI MD - Medical Doctor License in Illinois | # 036057862

JERRY EDWIN BERTOLINI MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057862

License Status

NOT RENEWED

Business

N

Title

MD

First Name

JERRY

Middle

EDWIN

Last Name

BERTOLINI

Business Name

JERRY EDWIN BERTOLINI MD

Original Issue Date

10/23/1978

Effective Date

06/18/2014

Expiration Date

07/31/2017

State

IL

Ever Disciplined

N

LastModifiedDate

11/01/2017