JONATHAN L BERRY DO - Medical Doctor License in Illinois | # 125072678

JONATHAN L BERRY DO

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072678

License Status

CANCELLED

Business

N

Title

DO

First Name

JONATHAN

Middle

L

Last Name

BERRY

Business Name

JONATHAN L BERRY DO

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

05/31/2018