SAMUEL JAY BERNGARD DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016409

License Status

NOT RENEWED

Business

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

City

HOFFMAN ESTATES

State

Zip

60195

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005