DANIEL S BERMAN - Medical Doctor License in Illinois | # 125044129

DANIEL S BERMAN

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044129

License Status

EXPIRED

Business

N

First Name

DANIEL

Middle

S

Last Name

BERMAN

Business Name

DANIEL S BERMAN

Original Issue Date

07/01/2002

Effective Date

07/01/2002

Expiration Date

06/30/2005

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006