ELIZABETH M BERRY KRAVIS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125018064

License Status

EXPIRED

Business

First Name

ELIZABETH M

Last Name

BERRY KRAVIS

Suffix

Business Name

ELIZABETH M BERRY KRAVIS MD

Original Issue Date

06/13/1985

Effective Date

06/13/1985

Expiration Date

06/25/1988

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006