ASHLEE BETH BERGIN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051463

License Status

CANCELLED

Business

Title

First Name

ASHLEE

Middle

BETH

Last Name

BERGIN

Business Name

ASHLEE BETH BERGIN MD

Original Issue Date

06/24/2006

Effective Date

06/24/2006

Expiration Date

06/23/2009

City

DANVILLE

State

Zip

61832

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006