LOUISE DOROLEK BERGMAN - Dentist License in Illinois | # 020002179

LOUISE DOROLEK BERGMAN

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002179

License Status

NOT RENEWED

Business

N

First Name

LOUISE DOROLEK

Last Name

BERGMAN

Business Name

LOUISE DOROLEK BERGMAN

Original Issue Date

07/03/1974

Effective Date

09/30/2004

Expiration Date

09/30/2006

State

IL

Ever Disciplined

N

LastModifiedDate

11/08/2006