License Directory

Anita Jawquin Bergman

Expired

Illinois 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