GARY LEONID BERLIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

NOT RENEWED

Business

First Name

GARY

Middle

LEONID

Last Name

BERLIN

Suffix

Business Name

GARY LEONID BERLIN MD

Original Issue Date

01/14/2002

Effective Date

04/11/2011

Expiration Date

07/31/2014

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014