STEPHANIE FRANCES BERRY DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068341

License Status

CANCELLED

Business

Title

First Name

STEPHANIE

Middle

FRANCES

Last Name

BERRY

Business Name

STEPHANIE FRANCES BERRY DO

Original Issue Date

06/25/2016

Effective Date

06/25/2016

Expiration Date

06/24/2019

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

05/12/2016