CHRISTINA LYNN BERG DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****08

License Status

NOT RENEWED

Business

Title

DPM

First Name

CHRISTINA

Middle

LYNN

Last Name

BERG

Business Name

CHRISTINA LYNN BERG DPM

Original Issue Date

04/22/2019

Effective Date

12/14/2020

Expiration Date

01/31/2023

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/31/2023