REBECCA JULIA BERGMAN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036672

License Status

EXPIRED

Business

First Name

REBECCA

Middle

JULIA

Last Name

BERGMAN

Business Name

REBECCA JULIA BERGMAN

Original Issue Date

06/12/1997

Effective Date

06/12/1997

Expiration Date

06/24/2000

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006