FANNY J BERG MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067054

License Status

INACTIVE

Business

First Name

FANNY J

Last Name

BERG

Suffix

Business Name

FANNY J BERG MD

Original Issue Date

07/21/1983

Effective Date

07/21/1983

Expiration Date

07/31/1987

City

WYNNEWOOD

State

Zip

19096

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

09/20/2006