JOHN P BERDAHL MD - Medical Doctor License in Illinois | # 106000518

JOHN P BERDAHL MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000518

License Status

NOT RENEWED

Business

N

Title

MD

First Name

JOHN

Middle

P

Last Name

BERDAHL

Business Name

JOHN P BERDAHL MD

Original Issue Date

10/15/2014

Effective Date

10/15/2014

Expiration Date

04/14/2015

State

IL

Specialty/Qualifier

Ophthalmology

Ever Disciplined

N

LastModifiedDate

01/07/2016