MARSHALL C BERGMAN Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****76

License Status

CANCELLED

Business

First Name

MARSHALL C

Last Name

BERGMAN

Business Name

MARSHALL C BERGMAN

Original Issue Date

01/01/1998

Expiration Date

01/31/2005

City

SKOKIE

State

Zip

60077

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006