KEVIN SAMUEL BERMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126086

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

SAMUEL

Last Name

BERMAN

Suffix

Business Name

KEVIN SAMUEL BERMAN MD

Original Issue Date

06/17/2010

Effective Date

04/28/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014