MARK H BERNHARDT - Medical Doctor License in Illinois | # 125023620

MARK H BERNHARDT

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023620

License Status

EXPIRED

Business

N

First Name

MARK

Middle

H

Last Name

BERNHARDT

Business Name

MARK H BERNHARDT

Original Issue Date

05/09/1989

Effective Date

05/09/1989

Expiration Date

06/30/1992

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006