BEVERLY VALLI FORSBERG Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001678

License Status

NOT RENEWED

Business

First Name

BEVERLY VALLI

Last Name

FORSBERG

Business Name

BEVERLY VALLI FORSBERG

Original Issue Date

07/13/1972

Effective Date

03/09/2019

Expiration Date

01/31/2022

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/09/2022