WALLACE PATRICK BERKOWITZ MD - Medical Doctor License in Illinois | # 036041982

WALLACE PATRICK BERKOWITZ MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041982

License Status

NOT RENEWED

Business

N

First Name

WALLACE

Middle

PATRICK

Last Name

BERKOWITZ

Suffix

MD

Business Name

WALLACE PATRICK BERKOWITZ MD

Original Issue Date

08/01/1968

Effective Date

06/05/2014

Expiration Date

07/31/2017

State

IL

Ever Disciplined

Y

LastModifiedDate

11/01/2017

Case Number

2007007477

Action

Reprimand

Discipline Start Date

05/20/2008

Discipline Reason

Disciplined in the state of Missouri.