RICHARD H BERTENSHAW MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

ACTIVE

Business

First Name

RICHARD H

Last Name

BERTENSHAW

Suffix

Business Name

RICHARD H BERTENSHAW MD

Original Issue Date

07/07/1987

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

DARIEN

State

Zip

60561

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023