SIMON BERGMAN DDS - Dentist License in Illinois | # 021001134

SIMON BERGMAN DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001134

License Status

NOT RENEWED

Business

N

First Name

SIMON

Last Name

BERGMAN

Suffix

DDS

Business Name

SIMON BERGMAN DDS

Original Issue Date

07/16/1982

Effective Date

07/16/1982

Expiration Date

09/30/1988

State

IL

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

N

LastModifiedDate

10/13/2005