LAWRENCE F BERLEY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

CANCELLED

Business

First Name

LAWRENCE F

Last Name

BERLEY

Suffix

Business Name

LAWRENCE F BERLEY MD

Original Issue Date

03/28/1985

Effective Date

03/28/1985

Expiration Date

07/31/1990

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006