HEIDI C BERTRAM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036055

License Status

EXPIRED

Business

First Name

HEIDI

Middle

Last Name

BERTRAM

Suffix

Business Name

HEIDI C BERTRAM MD

Original Issue Date

05/14/1997

Effective Date

05/14/1997

Expiration Date

08/10/2002

City

LAKE VILLA

State

Zip

60046

County

LAKE

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

09/22/2006