BRIAN GERARD BERGMANN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****26

License Status

NOT RENEWED

Business

First Name

BRIAN GERARD

Last Name

BERGMANN

Suffix

DDS

Business Name

BRIAN GERARD BERGMANN DDS

Original Issue Date

01/01/1998

Expiration Date

06/01/1982

City

HUNTLEY

State

Zip

60142

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005