SCOTT FORREST BERLIN MD - Medical Doctor License in New York | # 036086523

SCOTT FORREST BERLIN MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036086523

License Status

INACTIVE

Business

N

First Name

SCOTT FORREST

Last Name

BERLIN

Suffix

MD

Business Name

SCOTT FORREST BERLIN MD

Original Issue Date

06/21/1993

Effective Date

06/21/1993

Expiration Date

07/31/2002

State

NY

Ever Disciplined

N

LastModifiedDate

10/09/2006