DAVID A BERGQUIST MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021329

License Status

EXPIRED

Business

Title

First Name

DAVID

Middle

Last Name

BERGQUIST

Business Name

DAVID A BERGQUIST MD

Original Issue Date

06/16/1987

Effective Date

06/16/1987

Expiration Date

06/30/1991

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006