ROBERTA LA CAVA BENGTSON - Dentist License in Georgia | # 020002415

ROBERTA LA CAVA BENGTSON

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002415

License Status

NOT RENEWED

Business

N

First Name

ROBERTA LA CAVA

Last Name

BENGTSON

Business Name

ROBERTA LA CAVA BENGTSON

Original Issue Date

08/13/1974

Effective Date

08/13/1974

State

GA

Ever Disciplined

N

LastModifiedDate

10/12/2005