License holder summary

JONATHAN MICHAEL DANIEL BERGER is a Board Of Medicine licensed to practice in Idaho. The address on file for JONATHAN MICHAEL DANIEL BERGER is 6295 JONELLA WAY REDDING CA 96003. This licensed professional license is not current. The license was granted 06/17/2011 and expired on 08/01/2012.

Idaho

Division of Occupational and Professional Licenses

JONATHAN MICHAEL DANIEL BERGER
Board Of Medicine
License number
AT-397
Date granted
06/17/2011
Date expires
08/01/2012
Class
Board Of Medicine
Status
Canceled
Address
6295 JONELLA WAY REDDING CA 96003
idaholicensing.com
ID 48340620
LAST UPDATED 2024-03-30 19:43:33 UTC

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