ANDREA M BERTOTTO DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001599

License Status

EXPIRED

Business

Title

DDS

First Name

ANDREA

Middle

Last Name

BERTOTTO

Business Name

ANDREA M BERTOTTO DDS

Original Issue Date

07/11/2006

Effective Date

07/11/2006

Expiration Date

06/30/2007

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

07/03/2007