KIM NATASHA BERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

NOT RENEWED

Business

Title

First Name

KIM

Middle

NATASHA

Last Name

BERG

Business Name

KIM NATASHA BERG MD

Original Issue Date

06/06/2013

Effective Date

05/03/2017

Expiration Date

09/30/2020

City

RIVER FOREST

State

Zip

60305

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

IV V

Ever Disciplined

LastModifiedDate

01/14/2021