ROXANE JUNE BERG Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005148

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005