JAMES TODD BERGIN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032559

License Status

EXPIRED

Business

First Name

JAMES

Middle

TODD

Last Name

BERGIN

Suffix

Business Name

JAMES TODD BERGIN MD

Original Issue Date

05/17/1995

Effective Date

05/17/1995

Expiration Date

06/30/1998

City

CHICAGO

State

Zip

60153

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006