RICHARD B BERLIN JR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

ACTIVE

Business

First Name

RICHARD

Middle

Last Name

BERLIN

Suffix

JR MD

Business Name

RICHARD B BERLIN JR MD

Original Issue Date

07/07/1992

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023