KENNETH E BERKOVITZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138626

License Status

NOT RENEWED

Business

Title

First Name

KENNETH

Middle

Last Name

BERKOVITZ

Business Name

KENNETH E BERKOVITZ MD

Original Issue Date

07/10/2015

Effective Date

07/17/2017

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

01/14/2021