JOHN L BERTOLOZZI - Medical Doctor License in Illinois | # 125029972

JOHN L BERTOLOZZI

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029972

License Status

EXPIRED

Business

N

First Name

JOHN

Middle

LUKE

Last Name

BERTOLOZZI

Business Name

JOHN L BERTOLOZZI

Original Issue Date

05/28/1993

Effective Date

05/28/1993

Expiration Date

06/20/1997

State

IL

Specialty/Qualifier

Anesthesiology

Ever Disciplined

N

LastModifiedDate

09/22/2006