JOHN NATHAN BERRY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147868

License Status

NOT RENEWED

Business

Title

First Name

JOHN

Middle

NATHAN

Last Name

BERRY

Business Name

JOHN NATHAN BERRY MD

Original Issue Date

12/12/2018

Effective Date

12/12/2018

Expiration Date

09/30/2020

City

EDEN PRAIRIE

State

Zip

55344

Ever Disciplined

LastModifiedDate

01/14/2021