NICKLES PAUL BERGERON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036162338

License Status

ACTIVE

Business

Title

First Name

NICKLES

Middle

PAUL

Last Name

BERGERON

Business Name

NICKLES PAUL BERGERON MD

Original Issue Date

09/13/2022

Effective Date

07/02/2023

Expiration Date

07/31/2026

City

BATON ROUGE

State

Zip

70810

Ever Disciplined

LastModifiedDate

07/02/2023