MOLLY L BERGHUIS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006220

License Status

NOT RENEWED

Business

First Name

MOLLY L

Last Name

BERGHUIS

Business Name

MOLLY L BERGHUIS

Original Issue Date

08/11/1986

Effective Date

08/11/1986

Expiration Date

09/30/2002

City

CARY

State

Zip

60013

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/17/2005