MARTIN F BERTRAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

NOT RENEWED

Business

First Name

MARTIN F

Last Name

BERTRAM

Suffix

Business Name

MARTIN F BERTRAM MD

Original Issue Date

06/30/1993

Effective Date

06/30/1993

Expiration Date

07/31/1996

City

LINCOLNSHIRE

State

Zip

60069

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006