GREGORY JOSEPH BERRY DO - Medical Doctor License in Illinois | # 125032084

GREGORY JOSEPH BERRY DO

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032084

License Status

EXPIRED

Business

N

First Name

GREGORY JOSEPH

Last Name

BERRY

Suffix

DO

Business Name

GREGORY JOSEPH BERRY DO

Original Issue Date

06/30/1994

Effective Date

06/30/1994

Expiration Date

06/30/1997

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006