CARL D BERRY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073463

License Status

NOT RENEWED

Business

First Name

CARL D

Last Name

BERRY

Suffix

Business Name

CARL D BERRY MD

Original Issue Date

08/14/1986

Effective Date

08/14/1986

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006