TRACI BERGMAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008545

License Status

NOT RENEWED

Business

First Name

TRACI

Last Name

BERGMAN

Business Name

TRACI BERGMAN

Original Issue Date

07/25/1995

Effective Date

09/11/2012

Expiration Date

09/30/2015

City

DEERFIELD

State

Zip

60015

County

LAKE

Ever Disciplined

LastModifiedDate

04/25/2016