PETER E BERGQUIST DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101549

License Status

NOT RENEWED

Business

First Name

PETER

Middle

Last Name

BERGQUIST

Suffix

Business Name

PETER E BERGQUIST DO

Original Issue Date

10/29/1999

Effective Date

10/29/1999

Expiration Date

07/31/2002

City

CASPER

State

Zip

82609

Ever Disciplined

LastModifiedDate

09/15/2010