BRUCE M BERENS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036120678

License Status

NOT RENEWED

Business

First Name

BRUCE

Middle

Last Name

BERENS

Suffix

Business Name

BRUCE M BERENS MD

Original Issue Date

04/22/2008

Effective Date

04/22/2008

Expiration Date

07/31/2011

City

APPLE VALLEY

State

Zip

55124

County

MINNESOTA

Ever Disciplined

LastModifiedDate

11/14/2011