BARRY EDWARD DIBERNARDO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139435

License Status

NOT RENEWED

Business

Title

First Name

BARRY

Middle

EDWARD

Last Name

DIBERNARDO

Business Name

BARRY EDWARD DIBERNARDO MD

Original Issue Date

12/02/2015

Effective Date

09/22/2020

Expiration Date

07/31/2023

City

MONTCLAIR

State

Zip

07042

Ever Disciplined

LastModifiedDate

11/30/2023