ALAN BENJAMIN BERGMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055601

License Status

NOT RENEWED

Business

First Name

ALAN BENJAMIN

Last Name

BERGMAN

Suffix

Business Name

ALAN BENJAMIN BERGMAN MD

Original Issue Date

08/22/1977

Effective Date

08/22/1977

Expiration Date

07/01/1982

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006