EBENEZER BERKO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104008

License Status

INACTIVE

Business

First Name

EBENEZER

Last Name

BERKO

Business Name

EBENEZER BERKO

Original Issue Date

01/10/2001

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

04/07/2011