DANIEL WILLIAM BERGNER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049092

License Status

EXPIRED

Business

First Name

DANIEL

Middle

WILLIAM

Last Name

BERGNER

Suffix

Business Name

DANIEL WILLIAM BERGNER MD

Original Issue Date

07/18/2008

Effective Date

07/18/2008

Expiration Date

07/17/2009

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Clinical Cardiac Electrophysiology

Ever Disciplined

LastModifiedDate

05/28/2010