TOM D BERIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

NOT RENEWED

Business

First Name

TOM

Middle

Last Name

BERIS

Suffix

Business Name

TOM D BERIS MD

Original Issue Date

05/06/2008

Effective Date

07/16/2020

Expiration Date

07/31/2023

City

PLAINFIELD

State

Zip

60585

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023