MELANIE L BERG DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****52

License Status

NOT RENEWED

Business

First Name

MELANIE

Middle

Last Name

BERG

Suffix

DPM

Business Name

MELANIE L BERG DPM

Original Issue Date

12/05/2001

Effective Date

12/05/2001

Expiration Date

01/31/2005

City

CHICAGO

State

Zip

60608

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006