ETHAN PATRICK BERG DO - Medical Doctor License in Illinois | # 036152387

ETHAN PATRICK BERG DO

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036152387

License Status

ACTIVE

Business

N

Title

DO

First Name

ETHAN

Middle

PATRICK

Last Name

BERG

Business Name

ETHAN PATRICK BERG DO

Original Issue Date

03/30/2020

Effective Date

06/22/2023

Expiration Date

07/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

06/22/2023