MARK ALLAN BERK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

ACTIVE

Business

First Name

MARK ALLAN

Last Name

BERK

Suffix

Business Name

MARK ALLAN BERK MD

Original Issue Date

02/18/1987

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

LAKE FOREST

State

Zip

60045

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/06/2023