CHARLES A BERGSTROM MD - Medical Doctor License in Illinois | # 036071204

CHARLES A BERGSTROM MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036071204

License Status

NOT RENEWED

Business

N

First Name

CHARLES A

Last Name

BERGSTROM

Suffix

MD

Business Name

CHARLES A BERGSTROM MD

Original Issue Date

07/22/1985

Effective Date

07/22/1985

Expiration Date

07/31/1990

State

IL

Ever Disciplined

N

LastModifiedDate

09/20/2006