SUSAN R BERNSTEIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036084301

License Status

NOT RENEWED

Business

First Name

SUSAN R

Last Name

BERNSTEIN

Suffix

Business Name

SUSAN R BERNSTEIN MD

Original Issue Date

04/24/1992

Effective Date

04/24/1992

Expiration Date

07/31/1999

City

BAYSIDE

State

Zip

53217

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006