DANIEL FARRAY-BERGES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

NOT RENEWED

Business

First Name

DANIEL

Last Name

FARRAY-BERGES

Suffix

Business Name

DANIEL FARRAY-BERGES MD

Original Issue Date

10/28/2002

Effective Date

10/28/2002

Expiration Date

07/31/2008

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020