HERBERT BERLE NIESTAT MD - Medical Doctor License in South Carolina | # 036039062

HERBERT BERLE NIESTAT MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039062

License Status

NOT RENEWED

Business

N

First Name

HERBERT BERLE

Last Name

NIESTAT

Suffix

MD

Business Name

HERBERT BERLE NIESTAT MD

Original Issue Date

05/21/1964

Effective Date

05/21/1964

State

SC

Ever Disciplined

N

LastModifiedDate

09/20/2006