License holder summary

RANDALL NEAL BERG is a Board Of Medicine licensed to practice in Idaho. The address on file for RANDALL NEAL BERG is PO Box 816 Lewiston ID 83501. This licensed professional license is not current. The license was granted 08/03/1991 and expired on 07/02/1999.

Idaho

Division of Occupational and Professional Licenses

RANDALL NEAL BERG
Board Of Medicine
License number
M-5871
Date granted
08/03/1991
Date expires
07/02/1999
Class
Board Of Medicine
Status
Canceled
Address
PO Box 816 Lewiston ID 83501
idaholicensing.com
ID 48340610
LAST UPDATED 2024-03-07 11:32:57 UTC

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