JOSEPH EDWARD BERGSTROM DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101812

License Status

ACTIVE

Business

First Name

JOSEPH

Middle

EDWARD

Last Name

BERGSTROM

Suffix

Business Name

JOSEPH EDWARD BERGSTROM DO

Original Issue Date

01/14/2000

Effective Date

05/10/2023

Expiration Date

07/31/2026

City

DAVENPORT

State

Zip

52807

County

IOWA

Ever Disciplined

LastModifiedDate

05/10/2023