DAVID PHILLIP BERG DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

ACTIVE

Business

First Name

DAVID PHILLIP

Last Name

BERG

Suffix

Business Name

DAVID PHILLIP BERG DO

Original Issue Date

12/11/1992

Effective Date

07/10/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62781

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/10/2023