REBECCA JULIA BERGMAN 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

REBECCA

Middle

JULIA

Last Name

BERGMAN

Business Name

REBECCA JULIA BERGMAN

Original Issue Date

04/05/2000

Effective Date

06/08/2023

Expiration Date

07/31/2026

City

LINCOLNSHIRE

State

Zip

60069

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/08/2023