BETH A BERGMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036080163

License Status

ACTIVE

Business

First Name

BETH A

Last Name

BERGMAN

Suffix

Business Name

BETH A BERGMAN MD

Original Issue Date

06/27/1990

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Ever Disciplined

LastModifiedDate

04/11/2023