SANDRA E BERG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027000

License Status

EXPIRED

Business

First Name

SANDRA E

Last Name

BERG

Suffix

Business Name

SANDRA E BERG MD

Original Issue Date

05/30/1991

Effective Date

05/30/1991

Expiration Date

09/21/1994

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006