ROSE ANN BERWALD MD - Medical Doctor License in Illinois | # 125017697

ROSE ANN BERWALD MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017697

License Status

EXPIRED

Business

N

First Name

ROSE ANN

Last Name

BERWALD

Suffix

MD

Business Name

ROSE ANN BERWALD MD

Original Issue Date

10/03/1984

Effective Date

10/03/1984

Expiration Date

06/25/1986

State

IL

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

N

LastModifiedDate

09/22/2006