JAMES TODD BERGIN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097384

License Status

INACTIVE

Business

First Name

JAMES

Middle

TODD

Last Name

BERGIN

Suffix

Business Name

JAMES TODD BERGIN MD

Original Issue Date

03/13/1998

Effective Date

03/13/1998

Expiration Date

07/31/2005

City

BOWLING GREEN

State

Zip

42104

County

KENTUCKY

Ever Disciplined

LastModifiedDate

10/09/2006