JONATHAN W BERLIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

ACTIVE

Business

First Name

JONATHAN W

Last Name

BERLIN

Suffix

Business Name

JONATHAN W BERLIN MD

Original Issue Date

07/24/1996

Effective Date

04/19/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

04/19/2023