ROSE ANN BERWALD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036072050

License Status

NOT RENEWED

Business

First Name

ROSE ANN

Last Name

BERWALD

Suffix

Business Name

ROSE ANN BERWALD MD

Original Issue Date

11/22/1985

Effective Date

11/22/1985

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006