ADAM KENNETH BERRY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049903

License Status

EXPIRED

Business

Title

First Name

ADAM

Middle

KENNETH

Last Name

BERRY

Business Name

ADAM KENNETH BERRY MD

Original Issue Date

06/24/2011

Effective Date

06/24/2011

Expiration Date

09/23/2011

City

ROBBINS

State

Zip

60472

County

COOK

Specialty/Qualifier

M.L.B. Approved Program

Ever Disciplined

LastModifiedDate

11/17/2011