SUZANNE BERGEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

ACTIVE

Business

First Name

SUZANNE

Last Name

BERGEN

Suffix

Business Name

SUZANNE BERGEN MD

Original Issue Date

06/03/1988

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

HINSDALE

State

Zip

60521

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023