MONICA ELIZABETH BERG Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****25

License Status

NOT RENEWED

Business

First Name

MONICA

Middle

ELIZABETH

Last Name

BERG

Business Name

MONICA ELIZABETH BERG

Original Issue Date

08/17/2006

Effective Date

08/06/2009

Expiration Date

09/30/2012

City

CLARENDON HILLS

State

Zip

60514

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012