Malcolm R Berg
InactiveIllinois license 019020860
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 019020860
- Status
- Inactive
- First issued
- September 29, 1987
- Expired
- September 30, 1994
- License holder
- Malcolm R Berg
- Entity type
- Individual
Classifications
- Licensed Dentist (Dental) Dental
More from the license record
- Current term began
- 09/29/1987
Contact
Warrensburg, MO 64093
Missouri County