ELIZA MIDDLETON BERKLEY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125041147

License Status

EXPIRED

Business

First Name

ELIZA

Middle

MIDDLETON

Last Name

BERKLEY

Suffix

Business Name

ELIZA MIDDLETON BERKLEY MD

Original Issue Date

06/17/2000

Effective Date

06/17/2000

Expiration Date

06/16/2004

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006