BRIAN M BERG DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024453

License Status

NOT RENEWED

Business

First Name

BRIAN M

Last Name

BERG

Suffix

DDS

Business Name

BRIAN M BERG DDS

Original Issue Date

06/24/1997

Effective Date

06/24/1997

Expiration Date

09/30/1998

City

RIDGELAND

State

Zip

39157

County

MISSISSIPPI

Ever Disciplined

LastModifiedDate

10/12/2005