MICHAEL SAUL BERTENTHAL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075512

License Status

EXPIRED

Business

Title

First Name

MICHAEL

Middle

SAUL

Last Name

BERTENTHAL

Business Name

MICHAEL SAUL BERTENTHAL MD

Original Issue Date

06/24/2020

Effective Date

06/24/2020

Expiration Date

06/23/2023

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

03/06/2024