JERRY MICHAEL BERNSTEIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

NOT RENEWED

Business

First Name

JERRY

Middle

MICHAEL

Last Name

BERNSTEIN

Suffix

Business Name

JERRY MICHAEL BERNSTEIN MD

Original Issue Date

01/01/1997

Effective Date

04/29/2014

Expiration Date

07/31/2017

City

MORTON GROVE

State

Zip

60053

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020