SAMUEL D BERNAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078071

License Status

NOT RENEWED

Business

First Name

SAMUEL D

Last Name

BERNAL

Suffix

Business Name

SAMUEL D BERNAL MD

Original Issue Date

10/26/1988

Effective Date

10/26/1988

Expiration Date

07/31/1990

City

WELLESLEY

State

Zip

02181

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

09/20/2006