KELLE S BERGGREN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

ACTIVE

Business

Title

First Name

KELLE

Middle

Last Name

BERGGREN

Business Name

KELLE S BERGGREN MD

Original Issue Date

04/11/2003

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

WHEATON

State

Zip

60189

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023