DONNA BERGEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045728

License Status

ACTIVE

Business

First Name

DONNA

Last Name

BERGEN

Suffix

Business Name

DONNA BERGEN MD

Original Issue Date

07/01/1972

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

04/18/2023