DAVID A BERGQUIST MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112722

License Status

ACTIVE

Business

Title

First Name

DAVID

Middle

Last Name

BERGQUIST

Business Name

DAVID A BERGQUIST MD

Original Issue Date

12/02/2004

Effective Date

07/15/2023

Expiration Date

07/31/2026

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/15/2023