CAROL ANN BERG DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004097

License Status

NOT RENEWED

Business

First Name

CAROL ANN

Last Name

BERG

Suffix

DDS

Business Name

CAROL ANN BERG DDS

Original Issue Date

04/03/1980

Effective Date

04/03/1980

Expiration Date

04/01/1982

City

BROADVIEW

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005