RICHARD W BERG Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019020842

License Status

INACTIVE

Business

First Name

RICHARD W

Last Name

BERG

Business Name

RICHARD W BERG

Original Issue Date

10/24/1987

Effective Date

10/24/1987

Expiration Date

09/30/1990

City

CHULA VISTA

State

Zip

92013

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/12/2005