DAVID E BERTAGNA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019020864

License Status

ACTIVE

Business

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

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2024

Case Number

1989003894

Action

Probation

Discipline Start Date

03/17/1991

Discipline End Date

09/17/1991

Discipline Reason

Submitted a falsified application for licensure.