THERESE SUZANNE BERGSTROM - Dentist License in California | # 020005016

THERESE SUZANNE BERGSTROM

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005016

License Status

INACTIVE

Business

N

First Name

THERESE

Middle

SUZANNE

Last Name

BERGSTROM

Business Name

THERESE SUZANNE BERGSTROM

Original Issue Date

08/20/1982

Effective Date

03/23/2011

Expiration Date

09/30/2012

State

CA

Ever Disciplined

N

LastModifiedDate

03/17/2011