GEORGE B BERANEK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019078

License Status

EXPIRED

Business

Title

First Name

GEORGE

Middle

Last Name

BERANEK

Business Name

GEORGE B BERANEK MD

Original Issue Date

12/12/1985

Effective Date

12/12/1985

Expiration Date

12/01/1988

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006