HEIDI CATHERINE BERGEY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015599

License Status

NOT RENEWED

Business

First Name

HEIDI

Middle

CATHERINE

Last Name

BERGEY

Business Name

HEIDI CATHERINE BERGEY

Original Issue Date

07/21/2016

Effective Date

10/01/2018

Expiration Date

01/31/2022

City

JANESVILLE

State

Zip

53548

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/09/2022