LAURENCE C BERG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036160755

License Status

ACTIVE

Business

Title

First Name

LAURENCE

Middle

Last Name

BERG

Business Name

LAURENCE C BERG MD

Original Issue Date

06/03/2022

Effective Date

07/22/2023

Expiration Date

07/31/2026

City

HUDSON

State

Zip

54016

Ever Disciplined

LastModifiedDate

07/22/2023