DANIEL JOHN BARTGEN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056116

License Status

CANCELLED

Business

Title

First Name

DANIEL

Middle

JOHN

Last Name

BARTGEN

Business Name

DANIEL JOHN BARTGEN MD

Original Issue Date

06/29/2009

Effective Date

06/29/2009

Expiration Date

06/28/2012

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

04/20/2009