SCOTT FORREST BERLIN MD - Medical Doctor License in Illinois | # 125027379

SCOTT FORREST BERLIN MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027379

License Status

EXPIRED

Business

N

First Name

SCOTT FORREST

Last Name

BERLIN

Suffix

MD

Business Name

SCOTT FORREST BERLIN MD

Original Issue Date

07/03/1991

Effective Date

07/03/1991

Expiration Date

06/30/1994

State

IL

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

N

LastModifiedDate

09/22/2006