JOHN E BERESH Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

CANCELLED

Business

First Name

JOHN

Middle

Last Name

BERESH

Business Name

JOHN E BERESH

Original Issue Date

06/03/2004

Effective Date

06/03/2004

Expiration Date

07/31/2005

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006