KENNETH E BERKOVITZ MD - Medical Doctor License in Illinois | # 106000162

KENNETH E BERKOVITZ MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000162

License Status

EXPIRED

Business

N

Title

MD

First Name

KENNETH

Middle

E

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

State

IL

Ever Disciplined

N

LastModifiedDate

09/23/2006