JOLENE KAY BERG

Idaho  M-8691   Canceled

This Idaho license was held by JOLENE KAY BERG. The license is no longer active. It was granted on 12/07/2002 and expired on 06/30/2007

LICENSE DETAILS

  • License Number: M-8691
  • Category: Board Of Medicine
  • Status: Canceled
  • Date Granted: 12/07/2002 (over 22 years ago)
  • Expiry Date: 06/30/2007 (almost 18 years ago)

LOCATIONS

A Residential

21949 ANGOSTURA BLVD. SAN ANTONIO TX 78261