JACK D BERGSTRESSER DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036085636

License Status

NOT RENEWED

Business

First Name

JACK D

Last Name

BERGSTRESSER

Suffix

Business Name

JACK D BERGSTRESSER DO

Original Issue Date

11/17/1992

Effective Date

11/17/1992

Expiration Date

07/31/1993

City

SATELLITE

State

Zip

32937

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/20/2006