ROBERT PAUL BERTELLOTTI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045806

License Status

EXPIRED

Business

Title

First Name

ROBERT

Middle

PAUL

Last Name

BERTELLOTTI

Business Name

ROBERT PAUL BERTELLOTTI MD

Original Issue Date

07/01/2003

Effective Date

07/01/2003

Expiration Date

06/30/2006

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006