MARK DAVID BERKSON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108025

License Status

INACTIVE

Business

First Name

MARK

Middle

DAVID

Last Name

BERKSON

Suffix

Business Name

MARK DAVID BERKSON MD

Original Issue Date

10/16/2002

Effective Date

10/16/2002

Expiration Date

07/31/2005

City

PORTLAND

State

Zip

97209

Ever Disciplined

LastModifiedDate

03/01/2011