PAUL IRVING BERKOWITZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

NOT RENEWED

Business

First Name

PAUL

Middle

IRVING

Last Name

BERKOWITZ

Suffix

Business Name

PAUL IRVING BERKOWITZ MD

Original Issue Date

08/19/2004

Effective Date

08/19/2004

Expiration Date

07/31/2008

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008