MARCIE G BERGER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

First Name

MARCIE

Middle

Last Name

BERGER

Business Name

MARCIE G BERGER

Original Issue Date

11/06/2001

Effective Date

11/06/2001

Expiration Date

07/31/2008

City

WAUKEGAN

State

Zip

60085

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008