JULIE BETH BERNBERG Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****81

License Status

INOPERATIVE

Business

First Name

JULIE

Middle

BETH

Last Name

BERNBERG

Business Name

JULIE BETH BERNBERG

Original Issue Date

09/13/2011

Effective Date

01/30/2014

Expiration Date

03/01/2016

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

01/30/2014