SEAN IAN BERNSTEIN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068552

License Status

CANCELLED

Business

Title

First Name

SEAN

Middle

IAN

Last Name

BERNSTEIN

Business Name

SEAN IAN BERNSTEIN MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2021

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/01/2019