RUSTIN R BERLOW Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025131

License Status

EXPIRED

Business

First Name

RUSTIN

Middle

Last Name

BERLOW

Business Name

RUSTIN R BERLOW

Original Issue Date

05/25/1990

Effective Date

05/25/1990

Expiration Date

06/24/1996

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Neurological Surgery

Ever Disciplined

LastModifiedDate

09/22/2006