MARK PHILIP BERNSTEIN MD - Medical Doctor License in New Jersey | # 036112016

MARK PHILIP BERNSTEIN MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112016

License Status

NOT RENEWED

Business

N

First Name

MARK

Middle

PHILIP

Last Name

BERNSTEIN

Suffix

MD

Business Name

MARK PHILIP BERNSTEIN MD

Original Issue Date

08/03/2004

Effective Date

08/03/2004

Expiration Date

07/31/2005

State

NJ

Ever Disciplined

N

LastModifiedDate

10/09/2006