AMY B BERRY Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037830

License Status

CANCELLED

Business

First Name

AMY

Middle

Last Name

BERRY

Business Name

AMY B BERRY

Original Issue Date

05/19/1998

Effective Date

05/19/1998

Expiration Date

06/30/2001

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006