BORIS O BERGUS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114457

License Status

NOT RENEWED

Business

First Name

BORIS

Middle

Last Name

BERGUS

Suffix

Business Name

BORIS O BERGUS MD

Original Issue Date

08/22/2005

Effective Date

07/07/2014

Expiration Date

07/31/2017

City

REHOBOTH

State

Zip

02769

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

11/01/2017

Case Number

2014000205

Action

Probation

Discipline Start Date

06/02/2014

Discipline Reason

for prior discipline in Rhode Island and Maryland.