KENNETH E BERKOVITZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000162

License Status

EXPIRED

Business

Title

First Name

KENNETH

Middle

Last Name

BERKOVITZ

Business Name

KENNETH E BERKOVITZ MD

Original Issue Date

06/24/2002

Effective Date

06/24/2002

Expiration Date

12/23/2002

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/23/2006