DAVID EDWARD BEREDA DO - Medical Doctor License in Illinois | # 125056781

DAVID EDWARD BEREDA DO

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056781

License Status

EXPIRED

Business

N

Title

DO

First Name

DAVID

Middle

EDWARD

Last Name

BEREDA

Business Name

DAVID EDWARD BEREDA DO

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

08/29/2012