JONATHAN BARRY BERGER - Medical Doctor License in Illinois | # 125027781

JONATHAN BARRY BERGER

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027781

License Status

EXPIRED

Business

N

First Name

JONATHAN BARRY

Last Name

BERGER

Business Name

JONATHAN BARRY BERGER

Original Issue Date

04/30/1992

Effective Date

04/30/1992

Expiration Date

06/30/1995

State

IL

Specialty/Qualifier

Otolaryngology

Ever Disciplined

N

LastModifiedDate

09/22/2006