DAWN ELIZABETH BERGOM Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

ACTIVE

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PROSTHETIST

License Number

211000131

License Status

ACTIVE

Business

First Name

DAWN

Middle

ELIZABETH

Last Name

BERGOM

Business Name

DAWN ELIZABETH BERGOM

Original Issue Date

02/15/2002

Effective Date

09/21/2025

Expiration Date

09/30/2027

City

BETTENDORF

State

Zip

52722

County

IOWA

Ever Disciplined

LastModifiedDate

09/21/2025