SIMON BERGMAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001134

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

10/13/2005