ELYSSA BERG MD - Medical Doctor License in Illinois | # 125064667

ELYSSA BERG MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064667

License Status

EXPIRED

Business

N

Title

MD

First Name

ELYSSA

Last Name

BERG

Business Name

ELYSSA BERG MD

Original Issue Date

06/24/2014

Effective Date

06/24/2014

Expiration Date

06/23/2017

State

IL

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

N

LastModifiedDate

09/19/2017