MICHAEL DAVID BERGER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

CANCELLED

Business

Title

First Name

MICHAEL

Middle

DAVID

Last Name

BERGER

Business Name

MICHAEL DAVID BERGER MD

Original Issue Date

01/01/1997

Effective Date

05/30/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60659

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011