DAVID C BERTONCINI - Medical Doctor License in Illinois | # 125033210

DAVID C BERTONCINI

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033210

License Status

CANCELLED

Business

N

First Name

DAVID C

Last Name

BERTONCINI

Business Name

DAVID C BERTONCINI

Original Issue Date

06/08/1995

Effective Date

06/08/1995

Expiration Date

06/30/1998

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006