DAVID A BERGQUIST MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

ACTIVE

Business

Title

First Name

DAVID

Middle

Last Name

BERGQUIST

Business Name

DAVID A BERGQUIST MD

Original Issue Date

05/11/2005

Effective Date

07/15/2023

Expiration Date

07/31/2026

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/15/2023