SHIRLEY BERK Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004997

License Status

INACTIVE

Business

First Name

SHIRLEY

Last Name

BERK

Business Name

SHIRLEY BERK

Original Issue Date

08/03/1982

Effective Date

09/29/2015

Expiration Date

09/30/2018

City

SCOTTSDALE

State

Zip

85260

County

ARIZONA

Ever Disciplined

LastModifiedDate

06/07/2018