Anita Jawquin Bergman
ExpiredIllinois license 020002178
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020002178
- Status
- Expired (Not Renewed)
- First issued
- July 3, 1974
- Expired
- September 30, 1984
- License holder
- Anita Jawquin Bergman
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 07/03/1974
Contact
Rantoul, IL 61866
Champaign County