JAMES S BERRY MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036043601

License Status

INACTIVE

Business

First Name

JAMES S

Last Name

BERRY

Suffix

Business Name

JAMES S BERRY MD

Original Issue Date

07/30/1970

Effective Date

07/30/1970

Expiration Date

07/31/1987

City

BEAVER DAM

State

Zip

53916

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006