BRENDA W BERGESON Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

ACTIVE

Business

First Name

BRENDA

Middle

Last Name

BERGESON

Business Name

BRENDA W BERGESON

Original Issue Date

03/04/2002

Effective Date

05/13/2023

Expiration Date

07/31/2026

City

SOUTH ELGIN

State

Zip

60177

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/13/2023