KEITH R BERNDTSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014743

License Status

EXPIRED

Business

First Name

KEITH R

Last Name

BERNDTSON

Suffix

Business Name

KEITH R BERNDTSON MD

Original Issue Date

07/14/1982

Effective Date

07/14/1982

Expiration Date

07/01/1984

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006