ROBERT LEWIS BERGMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038639

License Status

NOT RENEWED

Business

First Name

ROBERT LEWIS

Last Name

BERGMAN

Suffix

Business Name

ROBERT LEWIS BERGMAN MD

Original Issue Date

09/10/1963

Effective Date

09/10/1963

Expiration Date

07/31/1984

City

ALBUQUERQUE

State

Zip

87122

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

09/20/2006