CARRIE T BERCIK Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005397

License Status

INACTIVE

Business

First Name

CARRIE T

Last Name

BERCIK

Business Name

CARRIE T BERCIK

Original Issue Date

09/08/1983

Effective Date

09/08/1983

Expiration Date

09/30/1990

City

HAMMOND

State

Zip

46327

County

INDIANA

Ever Disciplined

LastModifiedDate

10/12/2005