SAMUEL SILAS BERGEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036017524

License Status

NOT RENEWED

Business

First Name

SAMUEL SILAS

Last Name

BERGEN

Suffix

Business Name

SAMUEL SILAS BERGEN MD

Original Issue Date

07/05/1928

Effective Date

07/05/1928

City

JOLIET

State

Zip

60431

County

WILL

Ever Disciplined

LastModifiedDate

09/20/2006