License holder summary

DENISE LAURA BERG is a Board Of Medicine licensed to practice in Idaho. The address on file for DENISE LAURA BERG is PO Box 76 Pinehurst ID 83850. This licensed professional license is not current. The license was granted 11/20/1991 and expired on 07/02/1999.

Idaho

Division of Occupational and Professional Licenses

DENISE LAURA BERG
Board Of Medicine
License number
LRT-042
Date granted
11/20/1991
Date expires
07/02/1999
Class
Board Of Medicine
Status
Canceled
Address
PO Box 76 Pinehurst ID 83850
idaholicensing.com
ID 48340605
LAST UPDATED 2026-05-03 11:53:58 UTC

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