DWAYNE LEROY BERGMANN MD - Medical Doctor License in Missouri | # 036040820

DWAYNE LEROY BERGMANN MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040820

License Status

INACTIVE

Business

N

First Name

DWAYNE LEROY

Last Name

BERGMANN

Suffix

MD

Business Name

DWAYNE LEROY BERGMANN MD

Original Issue Date

11/28/1966

Effective Date

11/28/1966

Expiration Date

07/31/1987

State

MO

Ever Disciplined

N

LastModifiedDate

09/20/2006