CHRYSTAL SUMMER R BERG DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****20

License Status

ACTIVE

Business

Title

DPM

First Name

CHRYSTAL

Middle

SUMMER R

Last Name

BERG

Business Name

CHRYSTAL SUMMER R BERG DPM

Original Issue Date

05/04/2021

Effective Date

11/04/2024

Expiration Date

01/31/2027

City

GILLESPIE

State

Zip

62033

County

MACOUPIN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025