MARY ALICE BERGER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106046

License Status

NOT RENEWED

Business

First Name

MARY

Middle

ALICE

Last Name

BERGER

Business Name

MARY ALICE BERGER

Original Issue Date

12/31/2001

Effective Date

06/11/2008

Expiration Date

07/31/2011

City

FLAGSTAFF

State

Zip

86004

County

ARIZONA

Ever Disciplined

LastModifiedDate

11/14/2011