BETH MARA MARSHALL-BERGMAN DO - Medical Doctor License in Massachusetts | # 125060012

BETH MARA MARSHALL-BERGMAN DO

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060012

License Status

CANCELLED

Business

N

Title

DO

First Name

BETH

Middle

MARA

Last Name

MARSHALL-BERGMAN

Business Name

BETH MARA MARSHALL-BERGMAN DO

Original Issue Date

06/24/2011

Effective Date

06/24/2011

Expiration Date

06/23/2014

State

MA

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

03/24/2014