PHILIP JOHN BERGMAN Veterinarian License verification

Business Entity

NOT RENEWED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****46

License Status

NOT RENEWED

Business

First Name

PHILIP

Middle

JOHN

Last Name

BERGMAN

Business Name

PHILIP JOHN BERGMAN

Original Issue Date

12/31/2009

Effective Date

01/14/2011

Expiration Date

01/31/2013

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/20/2013