SUSAN ANN BERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036133526

License Status

NOT RENEWED

Business

Title

First Name

SUSAN

Middle

ANN

Last Name

BERG

Business Name

SUSAN ANN BERG MD

Original Issue Date

07/15/2013

Effective Date

06/12/2014

Expiration Date

07/31/2017

City

HOOPESTON

State

Zip

60942

County

VERMILION

Ever Disciplined

LastModifiedDate

11/01/2017