CARRIE BERKOVICH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000827

License Status

NOT RENEWED

Business

First Name

CARRIE

Last Name

BERKOVICH

Suffix

DDS

Business Name

CARRIE BERKOVICH DDS

Original Issue Date

04/03/1995

Effective Date

04/03/1995

Expiration Date

06/30/1998

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Periodontics

Ever Disciplined

LastModifiedDate

10/12/2005