KIM NATASHA BERG MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054944

License Status

CANCELLED

Business

Title

First Name

KIM

Middle

NATASHA

Last Name

BERG

Business Name

KIM NATASHA BERG MD

Original Issue Date

06/23/2008

Effective Date

06/23/2008

Expiration Date

06/22/2011

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

04/21/2008