MARK DAVID BERGMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113261

License Status

NOT RENEWED

Business

First Name

MARK

Middle

DAVID

Last Name

BERGMAN

Suffix

Business Name

MARK DAVID BERGMAN MD

Original Issue Date

03/16/2005

Effective Date

06/16/2014

Expiration Date

07/31/2017

City

LYNDHURST

State

Zip

44124

County

OHIO

Ever Disciplined

LastModifiedDate

11/01/2017