KEVIN SAMUEL BERMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

SAMUEL

Last Name

BERMAN

Suffix

Business Name

KEVIN SAMUEL BERMAN MD

Original Issue Date

01/23/2012

Effective Date

01/23/2012

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014