License holder summary

JOLENE KAY BERG is a Board Of Medicine licensed to practice in Idaho. The address on file for JOLENE KAY BERG is 21949 ANGOSTURA BLVD. SAN ANTONIO TX 78261. This licensed professional license is not current. The license was granted 12/07/2002 and expired on 06/30/2007.

Idaho

Division of Occupational and Professional Licenses

JOLENE KAY BERG
Board Of Medicine
License number
M-8691
Date granted
12/07/2002
Date expires
06/30/2007
Class
Board Of Medicine
Status
Canceled
Address
21949 ANGOSTURA BLVD. SAN ANTONIO TX 78261
idaholicensing.com
ID 48340607
LAST UPDATED 2024-03-21 10:26:44 UTC

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