DANIEL WILLIAM BERGNER MD - Medical Doctor License in Illinois | # 125049092

DANIEL WILLIAM BERGNER MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049092

License Status

EXPIRED

Business

N

First Name

DANIEL

Middle

WILLIAM

Last Name

BERGNER

Suffix

MD

Business Name

DANIEL WILLIAM BERGNER MD

Original Issue Date

07/18/2008

Effective Date

07/18/2008

Expiration Date

07/17/2009

State

IL

Specialty/Qualifier

Clinical Cardiac Electrophysiology

Ever Disciplined

N

LastModifiedDate

05/28/2010