JAIME E BERNAL Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

NOT RENEWED

Business

First Name

JAIME E

Last Name

BERNAL

Business Name

JAIME E BERNAL

Original Issue Date

04/29/1994

Effective Date

04/29/1994

Expiration Date

07/31/1999

City

HOMETOWN

State

Zip

60456

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011