BERNIE CHARLES RANCHERO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053683

License Status

CANCELLED

Business

Title

First Name

BERNIE

Middle

CHARLES

Last Name

RANCHERO

Business Name

BERNIE CHARLES RANCHERO MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2010

City

CHARLESTON

State

Zip

61920

County

COLES

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/25/2007