LYNN M BERGREN Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****80

License Status

NOT RENEWED

Business

First Name

LYNN M

Last Name

BERGREN

Business Name

LYNN M BERGREN

Original Issue Date

08/09/1983

Effective Date

08/09/1983

Expiration Date

01/31/1985

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006