DAVID C BERTONCINI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

NOT RENEWED

Business

First Name

DAVID C

Last Name

BERTONCINI

Business Name

DAVID C BERTONCINI

Original Issue Date

07/21/1997

Effective Date

07/21/1997

Expiration Date

07/31/1999

City

HINSDALE

State

Zip

60521

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006