ADAM WILLIAM BERRY MD - Medical Doctor License in Illinois | # 125066869

ADAM WILLIAM BERRY MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066869

License Status

CANCELLED

Business

N

Title

MD

First Name

ADAM

Middle

WILLIAM

Last Name

BERRY

Business Name

ADAM WILLIAM BERRY MD

Original Issue Date

06/26/2018

Effective Date

06/26/2018

Expiration Date

06/25/2019

State

IL

Specialty/Qualifier

Dermatology

Ever Disciplined

N

LastModifiedDate

03/26/2018