KENNETH E BERKOVITZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

NOT RENEWED

Business

Title

First Name

KENNETH

Middle

Last Name

BERKOVITZ

Business Name

KENNETH E BERKOVITZ MD

Original Issue Date

07/10/2015

Effective Date

07/17/2017

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61614

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021