EDITH HERGAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036082560

License Status

NOT RENEWED

Business

First Name

EDITH

Last Name

HERGAN

Suffix

Business Name

EDITH HERGAN MD

Original Issue Date

06/06/1991

Effective Date

07/17/2008

Expiration Date

07/31/2011

City

GUILFORD

State

Zip

06437

County

ADAMS

Ever Disciplined

LastModifiedDate

06/28/2012