NICHOLAS BERGUM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125085619

License Status

ACTIVE

Business

Title

First Name

NICHOLAS

Last Name

BERGUM

Business Name

NICHOLAS BERGUM MD

Original Issue Date

06/24/2025

Effective Date

06/24/2025

Expiration Date

06/23/2028

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

05/09/2025