DANIEL PATRICK BERG MD - Medical Doctor License in Illinois | # 125067545

DANIEL PATRICK BERG MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067545

License Status

CANCELLED

Business

N

Title

MD

First Name

DANIEL

Middle

PATRICK

Last Name

BERG

Business Name

DANIEL PATRICK BERG MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2018

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

04/06/2017