BILLY W BERRY JR Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026126

License Status

EXPIRED

Business

First Name

BILLY

Middle

Last Name

BERRY JR

Business Name

BILLY W BERRY JR

Original Issue Date

04/12/1991

Effective Date

04/12/1991

Expiration Date

06/30/1996

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

09/22/2006