BRITTNEY L BERGSTROM Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011013

License Status

ACTIVE

Business

First Name

BRITTNEY

Middle

Last Name

BERGSTROM

Business Name

BRITTNEY L BERGSTROM

Original Issue Date

06/24/2004

Effective Date

09/11/2024

Expiration Date

09/30/2027

City

ROCKFORD

State

Zip

61107

County

BOONE

Ever Disciplined

LastModifiedDate

09/11/2024