JORDAN LEIGH BERG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

ACTIVE

Business

Title

First Name

JORDAN

Middle

LEIGH

Last Name

BERG

Business Name

JORDAN LEIGH BERG MD

Original Issue Date

11/30/2023

Effective Date

11/30/2023

Expiration Date

07/31/2026

City

JANESVILLE

State

Zip

53546

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023