SUSAN ANN BERG MD - Medical Doctor License in Illinois | # 036133526

SUSAN ANN BERG MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036133526

License Status

NOT RENEWED

Business

N

Title

MD

First Name

SUSAN

Middle

ANN

Last Name

BERG

Business Name

SUSAN ANN BERG MD

Original Issue Date

07/15/2013

Effective Date

06/12/2014

Expiration Date

07/31/2017

State

IL

Ever Disciplined

N

LastModifiedDate

11/01/2017