BRIAN LUKAS BERGLUND MD - Medical Doctor License in Illinois | # 125067554

BRIAN LUKAS BERGLUND MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067554

License Status

EXPIRED

Business

N

Title

MD

First Name

BRIAN

Middle

LUKAS

Last Name

BERGLUND

Business Name

BRIAN LUKAS BERGLUND MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2018

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

10/25/2018