RICHARD H BERTENSHAW MD - Medical Doctor License in Illinois | # 125017810

RICHARD H BERTENSHAW MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017810

License Status

EXPIRED

Business

N

First Name

RICHARD H

Last Name

BERTENSHAW

Suffix

MD

Business Name

RICHARD H BERTENSHAW MD

Original Issue Date

05/03/1985

Effective Date

05/03/1985

Expiration Date

06/23/1988

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006