CHARLES RICHARD BERG DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011875

License Status

NOT RENEWED

Business

First Name

CHARLES RICHARD

Last Name

BERG

Suffix

DDS

Business Name

CHARLES RICHARD BERG DDS

Original Issue Date

07/31/1961

Effective Date

07/31/1961

Expiration Date

09/30/2000

City

SAWYER

State

Zip

49125

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/17/2005