RALPH DAVID BERENSON Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010696

License Status

INACTIVE

Business

First Name

RALPH DAVID

Last Name

BERENSON

Business Name

RALPH DAVID BERENSON

Original Issue Date

08/10/1955

Effective Date

08/10/1955

Expiration Date

09/30/1990

City

RIVERWOODS

State

Zip

60015

County

LAKE

Ever Disciplined

LastModifiedDate

10/12/2005