JONATHAN L BERRY DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

ACTIVE

Business

Title

First Name

JONATHAN

Middle

Last Name

BERRY

Business Name

JONATHAN L BERRY DO

Original Issue Date

08/09/2021

Effective Date

06/09/2023

Expiration Date

07/31/2026

City

OLYMPIA FIELDS

State

Zip

60461

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/09/2023