JENNIFER LYNN BERG Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011507

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

LYNN

Last Name

BERG

Business Name

JENNIFER LYNN BERG

Original Issue Date

09/02/2005

Effective Date

10/05/2021

Expiration Date

09/30/2024

City

LOWELL

State

Zip

46356

County

INDIANA

Ever Disciplined

LastModifiedDate

02/04/2025