Therese Suzanne Bergstrom
InactiveIllinois license 020005016
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020005016
- Status
- Inactive
- First issued
- August 20, 1982
- Expired
- September 30, 2012
- License holder
- Therese Suzanne Bergstrom
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 03/23/2011
Contact
La Mesa, CA 91941
California County