BRIAN GERARD BERGMANN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016973

License Status

NOT RENEWED

Business

First Name

BRIAN GERARD

Last Name

BERGMANN

Suffix

DDS

Business Name

BRIAN GERARD BERGMANN DDS

Original Issue Date

10/04/1979

Effective Date

10/04/1979

Expiration Date

04/01/1982

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/12/2005