JENNIFER KAY BERGE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

KAY

Last Name

BERGE

Suffix

Business Name

JENNIFER KAY BERGE MD

Original Issue Date

05/29/2002

Effective Date

05/29/2002

Expiration Date

07/31/2005

City

MONMOUTH

State

Zip

61462

County

WARREN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006