ANDREW JONATHAN BERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149326

License Status

NOT RENEWED

Business

Title

First Name

ANDREW

Middle

JONATHAN

Last Name

BERG

Business Name

ANDREW JONATHAN BERG MD

Original Issue Date

05/13/2019

Effective Date

09/14/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023