LARRY ROBERT BERGSTROM MD
Licensed Physician Controlled Substance (Schedules Ii Iii Iin Iiin Iv V )
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 The license is no longer active.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 (Schedules II III IIN IIIN IV V )
- 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