BRUCE JEFFREY BERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

NOT RENEWED

Business

First Name

BRUCE JEFFREY

Last Name

BERG

Suffix

Business Name

BRUCE JEFFREY BERG MD

Original Issue Date

06/20/1985

Effective Date

06/20/1985

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006