GEORGE B BERANEK MD - Medical Doctor License in Illinois | # 125019078

GEORGE B BERANEK MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019078

License Status

EXPIRED

Business

N

Title

MD

First Name

GEORGE

Middle

B

Last Name

BERANEK

Business Name

GEORGE B BERANEK MD

Original Issue Date

12/12/1985

Effective Date

12/12/1985

Expiration Date

12/01/1988

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006