DEBORAH ANN BERGFELD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042611

License Status

EXPIRED

Business

First Name

DEBORAH

Middle

ANN

Last Name

BERGFELD

Suffix

Business Name

DEBORAH ANN BERGFELD MD

Original Issue Date

07/01/2001

Effective Date

07/01/2001

Expiration Date

06/18/2005

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006