RICHARD A VANBERGEN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028399

License Status

EXPIRED

Business

First Name

RICHARD

Middle

Last Name

VANBERGEN

Business Name

RICHARD A VANBERGEN

Original Issue Date

05/28/1992

Effective Date

05/28/1992

Expiration Date

06/30/1995

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

01/27/2026