HERBERT BERLE NIESTAT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039062

License Status

NOT RENEWED

Business

First Name

HERBERT BERLE

Last Name

NIESTAT

Suffix

Business Name

HERBERT BERLE NIESTAT MD

Original Issue Date

05/21/1964

Effective Date

05/21/1964

City

COLUMBIA

State

Zip

29204

County

SOUTH CAROLINA

Ever Disciplined

LastModifiedDate

09/20/2006