GINA MARIE BERG Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046011321

License Status

INACTIVE

Business

First Name

GINA

Middle

MARIE

Last Name

BERG

Business Name

GINA MARIE BERG

Original Issue Date

06/24/2019

Effective Date

03/11/2022

Expiration Date

03/31/2024

City

ORLAND PARK

State

Zip

60467

County

COOK

Ever Disciplined

LastModifiedDate

01/30/2024