STEFAN P BERGERON DDS - Dentist License in Illinois | # 019029055

STEFAN P BERGERON DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029055

License Status

NOT RENEWED

Business

N

Title

DDS

First Name

STEFAN

Middle

P

Last Name

BERGERON

Business Name

STEFAN P BERGERON DDS

Original Issue Date

06/11/2012

Effective Date

07/10/2015

Expiration Date

09/30/2018

State

IL

Ever Disciplined

N

LastModifiedDate

10/31/2018