ROGER L BERKOW MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055079

License Status

NOT RENEWED

Business

First Name

ROGER L

Last Name

BERKOW

Suffix

Business Name

ROGER L BERKOW MD

Original Issue Date

07/18/1977

Effective Date

07/18/1977

Expiration Date

07/31/1978

City

GALLUP

State

Zip

87301

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

07/22/2013