MOLLY L BERGHUIS - Dentist License in Illinois | # 020006220

MOLLY L BERGHUIS

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006220

License Status

NOT RENEWED

Business

N

First Name

MOLLY L

Last Name

BERGHUIS

Business Name

MOLLY L BERGHUIS

Original Issue Date

08/11/1986

Effective Date

08/11/1986

Expiration Date

09/30/2002

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005