GERALD R THEBERGE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019017804

License Status

NOT RENEWED

Business

First Name

GERALD R

Last Name

THEBERGE

Suffix

DDS

Business Name

GERALD R THEBERGE DDS

Original Issue Date

07/30/1981

Effective Date

07/30/1981

Expiration Date

04/01/1982

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005