KEVIN SAMUEL BERMAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053096

License Status

EXPIRED

Business

First Name

KEVIN

Middle

SAMUEL

Last Name

BERMAN

Suffix

Business Name

KEVIN SAMUEL BERMAN MD

Original Issue Date

06/17/2007

Effective Date

06/17/2007

Expiration Date

06/16/2010

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

06/24/2010