ANDREW JONATHAN BERG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067123

License Status

EXPIRED

Business

Title

First Name

ANDREW

Middle

JONATHAN

Last Name

BERG

Business Name

ANDREW JONATHAN BERG MD

Original Issue Date

06/23/2018

Effective Date

06/23/2018

Expiration Date

06/22/2019

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

10/02/2019