SCOTT FORREST BERLIN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027379

License Status

EXPIRED

Business

First Name

SCOTT FORREST

Last Name

BERLIN

Suffix

Business Name

SCOTT FORREST BERLIN MD

Original Issue Date

07/03/1991

Effective Date

07/03/1991

Expiration Date

06/30/1994

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006