IDA MARIE BERGSTROM
Physician - Physician/Surgeon Cs
Utah 5747063-8905 Expired
This Utah license was held by IDA MARIE BERGSTROM. The license is no longer active. It was granted on 11/12/2004 and expired on 01/31/2012
LICENSE DETAILS
- License Number: 5747063-8905
- Category: PHYSICIAN/SURGEON CS
- Status: Expired
- Date Granted: 11/12/2004 (over 20 years ago)
- Expiry Date: 01/31/2012 (about 13 years ago)
LOCATIONS
A Address
WASHINGTON, DC 20007