HEIDI C BERTRAM MD - Medical Doctor License in Illinois | # 125036055

HEIDI C BERTRAM MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036055

License Status

EXPIRED

Business

N

First Name

HEIDI

Middle

C

Last Name

BERTRAM

Suffix

MD

Business Name

HEIDI C BERTRAM MD

Original Issue Date

05/14/1997

Effective Date

05/14/1997

Expiration Date

08/10/2002

State

IL

Specialty/Qualifier

Pathology

Ever Disciplined

N

LastModifiedDate

09/22/2006