SIMON BERGMAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016271

License Status

NOT RENEWED

Business

First Name

SIMON

Last Name

BERGMAN

Suffix

DDS

Business Name

SIMON BERGMAN DDS

Original Issue Date

06/02/1978

Effective Date

06/02/1978

Expiration Date

09/30/1988

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005