JOHN A GERGEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036074276

License Status

NOT RENEWED

Business

First Name

JOHN A

Last Name

GERGEN

Suffix

Business Name

JOHN A GERGEN MD

Original Issue Date

12/22/1986

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CHARLOTTESVILLE

State

Zip

22911

Ever Disciplined

LastModifiedDate

11/06/2008