TOM D BERIS MD - Medical Doctor License in Illinois | # 125041059

TOM D BERIS MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125041059

License Status

EXPIRED

Business

N

First Name

TOM

Middle

D

Last Name

BERIS

Suffix

MD

Business Name

TOM D BERIS MD

Original Issue Date

06/24/2000

Effective Date

06/24/2000

Expiration Date

06/23/2003

State

IL

Specialty/Qualifier

Anesthesiology

Ever Disciplined

N

LastModifiedDate

09/22/2006