ROY THOMAS BERGMAN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039861

License Status

INACTIVE

Business

First Name

ROY THOMAS

Last Name

BERGMAN

Suffix

Business Name

ROY THOMAS BERGMAN MD

Original Issue Date

08/20/1965

Effective Date

08/20/1965

Expiration Date

07/31/1987

City

OKEMOS

State

Zip

48864

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/20/2006