AVANTI BERGQUIST MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036160579

License Status

NOT RENEWED

Business

Title

First Name

AVANTI

Last Name

BERGQUIST

Business Name

AVANTI BERGQUIST MD

Original Issue Date

05/17/2022

Effective Date

05/17/2022

Expiration Date

07/31/2023

City

RENTON

State

Zip

98059

Ever Disciplined

LastModifiedDate

11/30/2023