JELENA BERENA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021669

License Status

EXPIRED

Business

First Name

JELENA

Last Name

BERENA

Business Name

JELENA BERENA

Original Issue Date

08/07/1987

Effective Date

08/07/1987

Expiration Date

08/05/1990

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

09/22/2006