JENNIFER KAY BERGE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106925

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

KAY

Last Name

BERGE

Suffix

Business Name

JENNIFER KAY BERGE MD

Original Issue Date

05/10/2002

Effective Date

05/10/2002

Expiration Date

07/31/2005

City

PHOENIX

State

Zip

85020

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/09/2006