MOSHE KOVACHEVICH-BERACHA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046906

License Status

CANCELLED

Business

First Name

MOSHE

Last Name

KOVACHEVICH-BERACHA

Suffix

Business Name

MOSHE KOVACHEVICH-BERACHA MD

Original Issue Date

07/01/2003

Effective Date

07/01/2003

Expiration Date

06/30/2006

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006