KIM A BERGNER - Medical Doctor License in Illinois | # 125030920

KIM A BERGNER

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030920

License Status

EXPIRED

Business

N

First Name

KIM A

Last Name

BERGNER

Business Name

KIM A BERGNER

Original Issue Date

05/02/1994

Effective Date

05/02/1994

Expiration Date

06/19/1997

State

IL

Specialty/Qualifier

Pediatrics

Ever Disciplined

N

LastModifiedDate

10/23/2006