SAMUEL JAY BERNGARD DDS - Dentist License in Illinois | # 019016409

SAMUEL JAY BERNGARD DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016409

License Status

NOT RENEWED

Business

N

First Name

SAMUEL JAY

Last Name

BERNGARD

Suffix

DDS

Business Name

SAMUEL JAY BERNGARD DDS

Original Issue Date

07/11/1978

Effective Date

07/11/1978

Expiration Date

09/30/1988

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005