JERRY EDWIN BERTOLINI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

NOT RENEWED

Business

Title

First Name

JERRY

Middle

EDWIN

Last Name

BERTOLINI

Business Name

JERRY EDWIN BERTOLINI MD

Original Issue Date

01/01/1997

Effective Date

06/18/2014

Expiration Date

07/31/2017

City

JOLIET

State

Zip

60435

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017