ROXANE JUNE BERG - Dentist License in Illinois | # 020005148

ROXANE JUNE BERG

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005148

License Status

NOT RENEWED

Business

N

First Name

ROXANE JUNE

Last Name

BERG

Business Name

ROXANE JUNE BERG

Original Issue Date

06/06/1983

Effective Date

06/06/1983

Expiration Date

09/30/1986

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005