JENNIFER L BERGQUIST Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112898

License Status

ACTIVE

Business

First Name

JENNIFER

Middle

Last Name

BERGQUIST

Business Name

JENNIFER L BERGQUIST

Original Issue Date

01/13/2005

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60642

County

COOK

Ever Disciplined

LastModifiedDate

04/11/2023