License Directory

Dwayne Leroy Bergmann Md

Inactive

Illinois license 036040820

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
036040820
Status
Inactive
First issued
November 28, 1966
Expired
July 31, 1987
License holder
Dwayne Leroy Bergmann Md
Entity type
Individual

Classifications

More from the license record

Current term began
11/28/1966

Contact

St. Louis, MO 63109
Missouri County