MICHAEL SAUL BERTENTHAL MD - Medical Doctor License in Illinois | # 125075512

MICHAEL SAUL BERTENTHAL MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075512

License Status

EXPIRED

Business

N

Title

MD

First Name

MICHAEL

Middle

SAUL

Last Name

BERTENTHAL

Business Name

MICHAEL SAUL BERTENTHAL MD

Original Issue Date

06/24/2020

Effective Date

06/24/2020

Expiration Date

06/23/2023

State

IL

Specialty/Qualifier

Pediatrics

Ever Disciplined

N

LastModifiedDate

03/06/2024