JAMES TODD BERGIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

NOT RENEWED

Business

First Name

JAMES

Middle

TODD

Last Name

BERGIN

Suffix

Business Name

JAMES TODD BERGIN MD

Original Issue Date

04/21/1998

Effective Date

04/21/1998

Expiration Date

07/31/2002

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006