GINA MARIE BERG - Optometrist License in Illinois | # 046011321

GINA MARIE BERG

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046011321

License Status

INACTIVE

Business

N

First Name

GINA

Middle

MARIE

Last Name

BERG

Business Name

GINA MARIE BERG

Original Issue Date

06/24/2019

Effective Date

03/11/2022

Expiration Date

03/31/2024

State

IL

Ever Disciplined

N

LastModifiedDate

01/30/2024