License holder summary

La Vonne Bernadene Bergstrom is a Medical - Physician licensed to practice in Colorado. The address on file for La Vonne Bernadene Bergstrom is 304 20TH ST, MANHATTAN BEACH, CA, 90266-0266. This licensed professional license is not current. The license was granted 04/11/1961 and expired on 08/16/2002.

Colorado

Division of Professions and Occupations

La Vonne Bernadene Bergstrom
Medical - Physician
License number
13971
Date granted
04/11/1961
Date expires
08/16/2002
Class
Medical - Physician
Status
Expired
Address
304 20TH ST, MANHATTAN BEACH, CA, 90266-0266
coloradolicensing.org
ID 27432092
LAST UPDATED 2024-04-04 14:59:41 UTC

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