ALEXA BERGREN DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137001135

License Status

ACTIVE

Business

Title

DDS

First Name

ALEXA

Last Name

BERGREN

Business Name

ALEXA BERGREN DDS

Original Issue Date

05/03/2024

Effective Date

05/03/2024

Expiration Date

09/30/2027

City

GLEN CARBON

State

Zip

62034

County

MADISON

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

LastModifiedDate

11/08/2023