JENNIFER MARIE BERGANT BREY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047371

License Status

EXPIRED

Business

First Name

JENNIFER MARIE

Middle

BERGANT

Last Name

BREY

Suffix

Business Name

JENNIFER MARIE BERGANT BREY MD

Original Issue Date

06/22/2004

Effective Date

06/22/2004

Expiration Date

06/21/2005

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006