MICHAEL ALLEN BERGEVIN - Medical Doctor License in Virginia | # 036152293

MICHAEL ALLEN BERGEVIN

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036152293

License Status

ACTIVE

Business

N

First Name

MICHAEL

Middle

ALLEN

Last Name

BERGEVIN

Business Name

MICHAEL ALLEN BERGEVIN

Original Issue Date

03/23/2020

Effective Date

07/11/2023

Expiration Date

07/31/2026

State

VA

Ever Disciplined

N

LastModifiedDate

07/11/2023