DOUGLAS MARK BERG Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149009706

License Status

INACTIVE

Business

First Name

DOUGLAS

Middle

MARK

Last Name

BERG

Business Name

DOUGLAS MARK BERG

Original Issue Date

08/20/2001

Effective Date

11/16/2021

Expiration Date

11/30/2023

City

GURNEE

State

Zip

60031

County

LAKE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/02/2023