DEBRA E BERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

NOT RENEWED

Business

First Name

DEBRA E

Last Name

BERG

Suffix

Business Name

DEBRA E BERG MD

Original Issue Date

11/23/1987

Effective Date

11/23/1987

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006