MICHAEL P BERT OD - Optometrist License in Virginia | # 34*****83

MICHAEL P BERT OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****83

License Status

NOT RENEWED

Business

N

First Name

MICHAEL P

Last Name

BERT

Suffix

OD

Business Name

MICHAEL P BERT OD

Original Issue Date

08/28/1996

Effective Date

03/31/2022

Expiration Date

03/31/2024

State

VA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

N

LastModifiedDate

02/05/2025