ANN MARIE BERGIN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003615

License Status

NOT RENEWED

Business

First Name

ANN MARIE

Last Name

BERGIN

Business Name

ANN MARIE BERGIN

Original Issue Date

07/18/1978

Effective Date

07/18/1978

Expiration Date

09/30/1984

City

SAN FRANCISCO

State

Zip

94107

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/12/2005