MAXWELL T VERGO MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119929

License Status

INACTIVE

Business

First Name

MAXWELL

Middle

Last Name

VERGO

Suffix

Business Name

MAXWELL T VERGO MD

Original Issue Date

01/08/2008

Effective Date

05/03/2011

Expiration Date

07/31/2014

City

LEBANON

State

Zip

03756

Ever Disciplined

LastModifiedDate

04/08/2014