CARRIE BERKOVICH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****80

License Status

NOT RENEWED

Business

First Name

CARRIE

Last Name

BERKOVICH

Suffix

DDS

Business Name

CARRIE BERKOVICH DDS

Original Issue Date

09/20/1995

Effective Date

09/20/1995

Expiration Date

09/30/1998

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005