ROBERT J BERMAN JR Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036610

License Status

EXPIRED

Business

First Name

ROBERT

Middle

Last Name

BERMAN JR

Business Name

ROBERT J BERMAN JR

Original Issue Date

06/11/1997

Effective Date

06/11/1997

Expiration Date

06/25/2001

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/22/2006