EARL O BERGERSEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010748

License Status

NOT RENEWED

Business

First Name

EARL O

Last Name

BERGERSEN

Suffix

DDS

Business Name

EARL O BERGERSEN DDS

Original Issue Date

08/17/1955

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

WINNETKA

State

Zip

60093

County

COOK

Ever Disciplined

LastModifiedDate

06/13/2012

Case Number

1991002079

Action

Reprimand

Discipline Start Date

02/19/1992

Discipline Reason

Practicing on nonrenewed specialty license.