NICHOLAS JEFFREY BERNS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028355

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Middle

JEFFREY

Last Name

BERNS

Business Name

NICHOLAS JEFFREY BERNS

Original Issue Date

06/14/2010

Effective Date

07/05/2012

Expiration Date

09/30/2015

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

02/08/2016