MICHAEL ALLEN BERGEVIN Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036152293

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

ALLEN

Last Name

BERGEVIN

Business Name

MICHAEL ALLEN BERGEVIN

Original Issue Date

03/23/2020

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

SMITHFIELD

State

Zip

23430

County

VIRGINIA

Ever Disciplined

LastModifiedDate

07/11/2023