RAYMOND E BERTINO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

ACTIVE

Business

First Name

RAYMOND E

Last Name

BERTINO

Suffix

Business Name

RAYMOND E BERTINO MD

Original Issue Date

08/23/1988

Effective Date

06/04/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/09/2023