LOIS V BERGEN Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000864

License Status

INACTIVE

Business

First Name

LOIS V

Last Name

BERGEN

Business Name

LOIS V BERGEN

Original Issue Date

07/18/1966

Effective Date

07/18/1966

Expiration Date

09/30/1992

City

FULLERTON

State

Zip

92631

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/12/2005