MICHAEL BERGOM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036153202

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Last Name

BERGOM

Business Name

MICHAEL BERGOM MD

Original Issue Date

06/01/2020

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

04/18/2023