ANDREW HENRY VAN BERGEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

ACTIVE

Business

First Name

ANDREW

Middle

HENRY

Last Name

VAN BERGEN

Suffix

Business Name

ANDREW HENRY VAN BERGEN MD

Original Issue Date

08/01/2002

Effective Date

07/29/2023

Expiration Date

07/31/2026

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/29/2023