RICHARD C BERGLUND MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014865

License Status

EXPIRED

Business

First Name

RICHARD

Middle

Last Name

BERGLUND

Suffix

Business Name

RICHARD C BERGLUND MD

Original Issue Date

07/28/1982

Effective Date

07/28/1982

Expiration Date

07/01/1984

City

CHICAGO

State

Zip

60625

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006