BRYCE BEDERKA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113296

License Status

NOT RENEWED

Business

First Name

BRYCE

Last Name

BEDERKA

Business Name

BRYCE BEDERKA

Original Issue Date

03/21/2005

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

PORTLAND

State

Zip

97214

Ever Disciplined

LastModifiedDate

11/06/2008