ROBERTA LA CAVA BENGTSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002415

License Status

NOT RENEWED

Business

First Name

ROBERTA LA CAVA

Last Name

BENGTSON

Business Name

ROBERTA LA CAVA BENGTSON

Original Issue Date

08/13/1974

Effective Date

08/13/1974

City

LILBURN

State

Zip

30247

County

GEORGIA

Ever Disciplined

LastModifiedDate

10/12/2005