DAVID C BERTONCINI Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033210

License Status

CANCELLED

Business

First Name

DAVID C

Last Name

BERTONCINI

Business Name

DAVID C BERTONCINI

Original Issue Date

06/08/1995

Effective Date

06/08/1995

Expiration Date

06/30/1998

City

HINSDALE

State

Zip

60521

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006