BARRY J BERGEN
Idaho MI-4883 Canceled
This Idaho license was held by BARRY J BERGEN. The license is no longer active. It was granted on 04/02/1985 and expired on 08/01/2012
LICENSE DETAILS
- License Number: MI-4883
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 04/02/1985 (about 40 years ago)
- Expiry Date: 08/01/2012 (almost 13 years ago)
LOCATIONS
A Residential
2831 E Somerset Ct Hayden ID 83835