CHRISTINA LYNN BERG DPM Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000922

License Status

CANCELLED

Business

Title

DPM

First Name

CHRISTINA

Middle

LYNN

Last Name

BERG

Business Name

CHRISTINA LYNN BERG DPM

Original Issue Date

06/09/2016

Effective Date

07/01/2016

Expiration Date

06/30/2019

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

06/09/2016