CARRIE BERKOVICH DDS - Dentist License in Illinois | # 021001851

CARRIE BERKOVICH DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001851

License Status

INACTIVE

Business

N

First Name

CARRIE

Last Name

BERKOVICH

Suffix

DDS

Business Name

CARRIE BERKOVICH DDS

Original Issue Date

08/20/1997

Effective Date

08/20/1997

Expiration Date

09/30/2000

State

IL

Specialty/Qualifier

Periodontics

Ever Disciplined

N

LastModifiedDate

10/17/2005