BERT K LOPANSRI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100799

License Status

NOT RENEWED

Business

First Name

BERT

Middle

Last Name

LOPANSRI

Suffix

Business Name

BERT K LOPANSRI MD

Original Issue Date

07/26/1999

Effective Date

04/26/2011

Expiration Date

07/31/2014

City

PARK CITY

State

Zip

84098

County

UTAH

Ever Disciplined

LastModifiedDate

11/17/2014