SHIRLEY BERK - Dentist License in Arizona | # 020004997

SHIRLEY BERK

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004997

License Status

INACTIVE

Business

N

First Name

SHIRLEY

Last Name

BERK

Business Name

SHIRLEY BERK

Original Issue Date

08/03/1982

Effective Date

09/29/2015

Expiration Date

09/30/2018

State

AZ

Ever Disciplined

N

LastModifiedDate

06/07/2018