JONATHAN W BERLIN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030090

License Status

EXPIRED

Business

First Name

JONATHAN W

Last Name

BERLIN

Suffix

Business Name

JONATHAN W BERLIN MD

Original Issue Date

06/03/1993

Effective Date

06/03/1993

Expiration Date

06/23/1996

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006