JORGE BERGESE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050530

License Status

INACTIVE

Business

First Name

JORGE

Last Name

BERGESE

Suffix

Business Name

JORGE BERGESE MD

Original Issue Date

02/25/1975

Effective Date

02/25/1975

Expiration Date

07/31/1987

City

MANSFIELD

State

Zip

44907

County

OHIO

Ever Disciplined

LastModifiedDate

09/20/2006