MELISSA ANN BERGSTROM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105177

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

ANN

Last Name

BERGSTROM

Suffix

Business Name

MELISSA ANN BERGSTROM MD

Original Issue Date

07/11/2001

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

FOLSOM

State

Zip

95630

Ever Disciplined

LastModifiedDate

11/06/2008