BYRON SANFORD BERLIN MD Medical Doctor License verification

Business Entity

INOPERATIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

INOPERATIVE

Business

First Name

BYRON SANFORD

Last Name

BERLIN

Suffix

Business Name

BYRON SANFORD BERLIN MD

Original Issue Date

12/05/1994

Effective Date

12/05/1994

Expiration Date

07/31/1996

City

QUINCY

State

Zip

62301

County

ADAMS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006