BRUCE JEFFREY BERG MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036070679

License Status

INACTIVE

Business

First Name

BRUCE JEFFREY

Last Name

BERG

Suffix

Business Name

BRUCE JEFFREY BERG MD

Original Issue Date

06/03/1985

Effective Date

06/03/1985

Expiration Date

07/31/1987

City

WYNNEWOOD

State

Zip

19096

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

09/20/2006