DAVID E BERTAGNA - Dentist License in Illinois | # 019020864

DAVID E BERTAGNA

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019020864

License Status

ACTIVE

Business

N

First Name

DAVID E

Last Name

BERTAGNA

Business Name

DAVID E BERTAGNA

Original Issue Date

09/29/1987

Effective Date

09/26/2024

Expiration Date

09/30/2027

State

IL

Ever Disciplined

Y

LastModifiedDate

09/26/2024

Case Number

1989003894

Action

Suspension

Discipline Start Date

02/15/1991

Discipline End Date

03/16/1991

Discipline Reason

Submitted a falsified application for licensure.