DONALD RAYMOND BERG DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012448

License Status

INACTIVE

Business

First Name

DONALD RAYMOND

Last Name

BERG

Suffix

DDS

Business Name

DONALD RAYMOND BERG DDS

Original Issue Date

07/14/1964

Effective Date

07/14/1964

Expiration Date

09/30/1990

City

CORTE MADERA

State

Zip

94925

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/12/2005