STANLEY BERMAN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049120

License Status

INACTIVE

Business

First Name

STANLEY

Last Name

BERMAN

Suffix

Business Name

STANLEY BERMAN MD

Original Issue Date

04/08/1974

Effective Date

04/08/1974

Expiration Date

07/31/2005

City

ALBUQUERQUE

State

Zip

87109

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

10/09/2006