JORDAN D BERLIN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

NOT RENEWED

Business

First Name

JORDAN D

Last Name

BERLIN

Business Name

JORDAN D BERLIN

Original Issue Date

07/26/1995

Effective Date

07/26/1995

Expiration Date

07/31/1999

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006