ROY T BERGMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036074380

License Status

NOT RENEWED

Business

First Name

ROY

Middle

Last Name

BERGMAN

Suffix

Business Name

ROY T BERGMAN MD

Original Issue Date

01/23/1987

Effective Date

01/23/1987

Expiration Date

07/31/1993

City

WENATCHEE

State

Zip

98801

Ever Disciplined

LastModifiedDate

08/06/2009

Case Number

2009003652

Action

Refuse To Renew

Discipline Start Date

08/06/2009