BERTON SIEGEL DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040020

License Status

INACTIVE

Business

First Name

BERTON

Last Name

SIEGEL

Suffix

Business Name

BERTON SIEGEL DO

Original Issue Date

08/20/1965

Effective Date

08/20/1965

Expiration Date

07/31/1993

City

PHOENIX

State

Zip

85019

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/20/2006