SANDRA E BERG MD - Medical Doctor License in Illinois | # 125027000

SANDRA E BERG MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027000

License Status

EXPIRED

Business

N

First Name

SANDRA E

Last Name

BERG

Suffix

MD

Business Name

SANDRA E BERG MD

Original Issue Date

05/30/1991

Effective Date

05/30/1991

Expiration Date

09/21/1994

State

IL

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

N

LastModifiedDate

09/22/2006