JUSTIN BERGH DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071838

License Status

CANCELLED

Business

Title

First Name

JUSTIN

Last Name

BERGH

Business Name

JUSTIN BERGH DO

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2022

City

HOFFMAN ESTATES

State

Zip

60169

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

06/25/2021