BETH SHAPIRO BROMBERG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125018669

License Status

EXPIRED

Business

First Name

BETH SHAPIRO

Last Name

BROMBERG

Suffix

Business Name

BETH SHAPIRO BROMBERG MD

Original Issue Date

06/20/1985

Effective Date

06/20/1985

Expiration Date

06/24/1988

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

09/22/2006