JOSEPH EDWARD BERGSTROM DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

ACTIVE

Business

First Name

JOSEPH

Middle

EDWARD

Last Name

BERGSTROM

Suffix

Business Name

JOSEPH EDWARD BERGSTROM DO

Original Issue Date

09/05/2014

Effective Date

05/10/2023

Expiration Date

07/31/2026

City

DAVENPORT

State

Zip

52807

County

ROCK ISLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/10/2023