DAREN JONATHAN LEE BERGMAN DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005281

License Status

NOT RENEWED

Business

First Name

DAREN

Middle

JONATHAN LEE

Last Name

BERGMAN

Suffix

DPM

Business Name

DAREN JONATHAN LEE BERGMAN DPM

Original Issue Date

05/18/2006

Effective Date

02/01/2007

Expiration Date

01/31/2009

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

03/17/2009