STEPHANIE ANN BERG DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036133979

License Status

ACTIVE

Business

Title

First Name

STEPHANIE

Middle

ANN

Last Name

BERG

Business Name

STEPHANIE ANN BERG DO

Original Issue Date

09/18/2013

Effective Date

04/29/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60642

County

COOK

Ever Disciplined

LastModifiedDate

04/29/2023