SIMON BERGMAN DDS - Dentist License in Illinois | # 019016271

SIMON BERGMAN DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016271

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005