JACK MARSHALL BERGSTEIN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096660

License Status

INACTIVE

Business

First Name

JACK MARSHALL

Last Name

BERGSTEIN

Suffix

Business Name

JACK MARSHALL BERGSTEIN MD

Original Issue Date

09/08/1997

Effective Date

09/08/1997

Expiration Date

07/31/1999

City

CLARKSVILLE

State

Zip

15322

Ever Disciplined

LastModifiedDate

01/19/2010