TROY P BERTOLI MD - Medical Doctor License in Illinois | # 125048777

TROY P BERTOLI MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048777

License Status

EXPIRED

Business

N

First Name

TROY

Middle

P

Last Name

BERTOLI

Suffix

MD

Business Name

TROY P BERTOLI MD

Original Issue Date

08/02/2004

Effective Date

08/02/2004

Expiration Date

08/01/2007

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

08/29/2007