HARRY W BERGMANN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036027204

License Status

NOT RENEWED

Business

First Name

HARRY W

Last Name

BERGMANN

Suffix

Business Name

HARRY W BERGMANN MD

Original Issue Date

09/16/1946

Effective Date

09/16/1946

Expiration Date

07/31/2005

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/09/2006