MARK J BERNHARD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014603

License Status

EXPIRED

Business

First Name

MARK J

Last Name

BERNHARD

Suffix

Business Name

MARK J BERNHARD MD

Original Issue Date

06/30/1982

Effective Date

06/30/1982

Expiration Date

06/28/1984

City

LAGRANGE

State

Zip

60525

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006