LARRY ROBERT BERGSTROM MD
Licensed Physician Controlled Substance
Illinois 336030680 Not Renewed
This Illinois license was held by LARRY ROBERT BERGSTROM MD. The license is no longer active. It was granted on 08/05/1983 and expired on 07/31/1987
LICENSE DETAILS
- License Number: 336030680
- Category: LICENSED PHYSICIAN CONTROLLED SUBSTANCE
- Status: Not Renewed
- Date Granted: 08/05/1983 (about 43 years ago)
- Expiry Date: 07/31/1987 (about 39 years ago)
LOCATIONS
A Address
CANTON, IL 61520