ROBERT EDWARD BERKTOLD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

NOT RENEWED

Business

First Name

ROBERT EDWARD

Last Name

BERKTOLD

Suffix

Business Name

ROBERT EDWARD BERKTOLD MD

Original Issue Date

07/20/1982

Effective Date

07/14/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017