MELANIE L BERG DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000444

License Status

EXPIRED

Business

First Name

MELANIE

Middle

Last Name

BERG

Suffix

DPM

Business Name

MELANIE L BERG DPM

Original Issue Date

05/26/2000

Effective Date

05/26/2000

Expiration Date

06/30/2002

City

HUDSON

State

Zip

54016

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/25/2006