JENNIFER B BERNARD - Medical Doctor License in Illinois | # 125047361

JENNIFER B BERNARD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047361

License Status

EXPIRED

Business

N

First Name

JENNIFER

Middle

B

Last Name

BERNARD

Business Name

JENNIFER B BERNARD

Original Issue Date

07/01/2004

Effective Date

07/01/2004

Expiration Date

06/30/2007

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

07/03/2007