BERT I BEVERLY MD SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042002050

License Status

NOT RENEWED

Business

Business Name

BERT I BEVERLY MD SC

Original Issue Date

04/08/1974

Effective Date

04/08/1974

Expiration Date

01/01/1986

City

OAK PARK

State

Zip

60301

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006