LOIS V BERGEN - Dentist License in California | # 020000864

LOIS V BERGEN

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000864

License Status

INACTIVE

Business

N

First Name

LOIS V

Last Name

BERGEN

Business Name

LOIS V BERGEN

Original Issue Date

07/18/1966

Effective Date

07/18/1966

Expiration Date

09/30/1992

State

CA

Ever Disciplined

N

LastModifiedDate

10/12/2005