HENRY F BERCHTOLD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036022868

License Status

NOT RENEWED

Business

First Name

HENRY F

Last Name

BERCHTOLD

Suffix

Business Name

HENRY F BERCHTOLD MD

Original Issue Date

11/23/1938

Effective Date

11/23/1938

Expiration Date

07/31/1999

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/20/2006