MARK S BERG DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018498

License Status

INACTIVE

Business

First Name

MARK S

Last Name

BERG

Suffix

DDS

Business Name

MARK S BERG DDS

Original Issue Date

05/09/1983

Effective Date

05/09/1983

Expiration Date

09/30/1992

City

ST LOUIS

State

Zip

63141

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/12/2005