MARK PHILIP BERNSTEIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112016

License Status

NOT RENEWED

Business

First Name

MARK

Middle

PHILIP

Last Name

BERNSTEIN

Suffix

Business Name

MARK PHILIP BERNSTEIN MD

Original Issue Date

08/03/2004

Effective Date

08/03/2004

Expiration Date

07/31/2005

City

LIVINGSTON

State

Zip

07039

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

10/09/2006