Jane A Bergman
InactiveIllinois license 020005341
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020005341
- Status
- Inactive
- First issued
- August 2, 1983
- Expired
- September 30, 2018
- License holder
- Jane A Bergman
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 08/25/2015
Contact
Caledonia, IL 61011
Boone County