LILLA BERCK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036118519

License Status

ACTIVE

Business

First Name

LILLA

Last Name

BERCK

Suffix

Business Name

LILLA BERCK MD

Original Issue Date

05/29/2007

Effective Date

06/07/2023

Expiration Date

07/31/2026

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

06/07/2023