DANIEL PATRICK BERG MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067545

License Status

CANCELLED

Business

Title

First Name

DANIEL

Middle

PATRICK

Last Name

BERG

Business Name

DANIEL PATRICK BERG MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2018

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/06/2017