MELANIE L BERG DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005054

License Status

NOT RENEWED

Business

First Name

MELANIE

Middle

Last Name

BERG

Suffix

DPM

Business Name

MELANIE L BERG DPM

Original Issue Date

10/23/2001

Effective Date

10/23/2001

Expiration Date

01/31/2005

City

HUDSON

State

Zip

54016

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006