THOMAS R BERNIK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106539

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

Last Name

BERNIK

Suffix

Business Name

THOMAS R BERNIK MD

Original Issue Date

03/19/2002

Effective Date

03/19/2002

Expiration Date

07/31/2005

City

MANHASSET

State

Zip

11030

County

NEW YORK

Ever Disciplined

LastModifiedDate

10/09/2006