MARK ANDREW BERGIN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051952

License Status

EXPIRED

Business

First Name

MARK

Middle

ANDREW

Last Name

BERGIN

Suffix

Business Name

MARK ANDREW BERGIN MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

08/29/2012