MARCIE G BERGER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

NOT RENEWED

Business

First Name

MARCIE

Middle

Last Name

BERGER

Business Name

MARCIE G BERGER

Original Issue Date

02/22/2002

Effective Date

02/22/2002

Expiration Date

07/31/2008

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008