JAMES TODD BERGIN MD - Medical Doctor License in Kentucky | # 036097384

JAMES TODD BERGIN MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097384

License Status

INACTIVE

Business

N

First Name

JAMES

Middle

TODD

Last Name

BERGIN

Suffix

MD

Business Name

JAMES TODD BERGIN MD

Original Issue Date

03/13/1998

Effective Date

03/13/1998

Expiration Date

07/31/2005

State

KY

Ever Disciplined

N

LastModifiedDate

10/09/2006