STEFAN P BERGERON 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

Title

DDS

First Name

STEFAN

Middle

Last Name

BERGERON

Business Name

STEFAN P BERGERON DDS

Original Issue Date

06/12/2012

Effective Date

07/10/2015

Expiration Date

09/30/2018

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018