EARL O BERGERSEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000308

License Status

NOT RENEWED

Business

First Name

EARL O

Last Name

BERGERSEN

Suffix

DDS

Business Name

EARL O BERGERSEN DDS

Original Issue Date

12/16/1960

Effective Date

12/16/1960

Expiration Date

09/30/2006

City

WINNETKA

State

Zip

60093

County

COOK

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

11/08/2006