RANDALL J BERLIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036084221

License Status

NOT RENEWED

Business

First Name

RANDALL J

Last Name

BERLIN

Suffix

Business Name

RANDALL J BERLIN MD

Original Issue Date

04/09/1992

Effective Date

04/09/1992

Expiration Date

07/31/1996

City

HINSDALE

State

Zip

60521

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

08/16/2012