SENTA MARIA BERGGRUEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

ACTIVE

Business

First Name

SENTA

Middle

MARIA

Last Name

BERGGRUEN

Suffix

Business Name

SENTA MARIA BERGGRUEN MD

Original Issue Date

02/06/2003

Effective Date

05/05/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/05/2023