SCOTT M BERGMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036070937

License Status

NOT RENEWED

Business

First Name

SCOTT M

Last Name

BERGMAN

Suffix

Business Name

SCOTT M BERGMAN MD

Original Issue Date

06/24/1985

Effective Date

06/24/1985

Expiration Date

07/31/1987

City

STATEN ISLAND

State

Zip

10301

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006