RUSTIN R BERLOW - Medical Doctor License in Illinois | # 125025131

RUSTIN R BERLOW

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025131

License Status

EXPIRED

Business

N

First Name

RUSTIN

Middle

R

Last Name

BERLOW

Business Name

RUSTIN R BERLOW

Original Issue Date

05/25/1990

Effective Date

05/25/1990

Expiration Date

06/24/1996

State

IL

Specialty/Qualifier

Neurological Surgery

Ever Disciplined

N

LastModifiedDate

09/22/2006