RICHARD THOMAS BERGERON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036035272

License Status

INACTIVE

Business

First Name

RICHARD THOMAS

Last Name

BERGERON

Suffix

Business Name

RICHARD THOMAS BERGERON MD

Original Issue Date

08/14/1958

Effective Date

08/14/1958

Expiration Date

07/31/1987

City

BROOKLYN

State

Zip

11201

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006