DAREN JONATHAN LEE BERGMAN DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****99

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

06/07/2006

Effective Date

11/21/2006

Expiration Date

01/31/2009

City

DES PLAINES

State

Zip

60016

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/17/2009