SANDRA E BERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088760

License Status

NOT RENEWED

Business

First Name

SANDRA E

Last Name

BERG

Suffix

Business Name

SANDRA E BERG MD

Original Issue Date

06/29/1994

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011