DEREK SCOTT BERGESON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116182

License Status

NOT RENEWED

Business

First Name

DEREK

Middle

SCOTT

Last Name

BERGESON

Suffix

Business Name

DEREK SCOTT BERGESON MD

Original Issue Date

06/09/2006

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

HOUSTON

State

Zip

77054

County

TEXAS

Ever Disciplined

LastModifiedDate

11/06/2008