STACY JOHN BERCKES MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066680

License Status

INACTIVE

Business

First Name

STACY JOHN

Last Name

BERCKES

Suffix

Business Name

STACY JOHN BERCKES MD

Original Issue Date

06/14/1983

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

MOUNT DORA

State

Zip

32757

Ever Disciplined

LastModifiedDate

07/15/2008