SCOTT FORREST BERLIN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036086523

License Status

INACTIVE

Business

First Name

SCOTT FORREST

Last Name

BERLIN

Suffix

Business Name

SCOTT FORREST BERLIN MD

Original Issue Date

06/21/1993

Effective Date

06/21/1993

Expiration Date

07/31/2002

City

BAYSHORE

State

Zip

11706

County

NEW YORK

Ever Disciplined

LastModifiedDate

10/09/2006