TRACI BERGMAN - Dentist License in Illinois | # 020008545

TRACI BERGMAN

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008545

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

04/25/2016