EARL O BERGERSEN DDS - Dentist License in Illinois | # 021000308

EARL O BERGERSEN DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000308

License Status

NOT RENEWED

Business

N

First Name

EARL O

Last Name

BERGERSEN

Suffix

DDS

Business Name

EARL O BERGERSEN DDS

Original Issue Date

12/16/1960

Effective Date

12/16/1960

Expiration Date

09/30/2006

State

IL

Specialty/Qualifier

Orthodontics

Ever Disciplined

N

LastModifiedDate

11/08/2006