DONALD JAY BERGLUND DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016190

License Status

NOT RENEWED

Business

First Name

DONALD JAY

Last Name

BERGLUND

Suffix

DDS

Business Name

DONALD JAY BERGLUND DDS

Original Issue Date

01/19/1978

Effective Date

01/19/1978

Expiration Date

09/30/1988

City

TAMPA

State

Zip

33624

County

FLORIDA

Ever Disciplined

LastModifiedDate

10/12/2005