MARK DAVID BERGMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

NOT RENEWED

Business

First Name

MARK

Middle

DAVID

Last Name

BERGMAN

Suffix

Business Name

MARK DAVID BERGMAN MD

Original Issue Date

03/16/2005

Effective Date

03/16/2005

Expiration Date

07/31/2008

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017