JASON ALLAN BERGANDI

Licensed Physician Controlled Substance

Illinois  336074926   Suspended

This Illinois license was held by JASON ALLAN BERGANDI. The license is no longer active. It was granted on 07/13/2005 and expired on 07/31/2014

LICENSE DETAILS

  • License Number: 336074926
  • Category: LICENSED PHYSICIAN CONTROLLED SUBSTANCE
  • Status: Suspended
  • Date Granted: 07/13/2005 (almost 19 years ago)
  • Expiry Date: 07/31/2014 (almost 10 years ago)

LOCATIONS

A Address

Peru, IL 61354-2769