JERRY EDWIN BERTOLINI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057862

License Status

NOT RENEWED

Business

Title

First Name

JERRY

Middle

EDWIN

Last Name

BERTOLINI

Business Name

JERRY EDWIN BERTOLINI MD

Original Issue Date

10/23/1978

Effective Date

06/18/2014

Expiration Date

07/31/2017

City

JOLIET

State

Zip

60435

County

WILL

Ever Disciplined

LastModifiedDate

11/01/2017