License holder summary

RUSS SCOTT BERGMAN is a Dentistry - Anesthesia Permit - Restricted II licensed to practice in Pennsylvania. The address on file for RUSS SCOTT BERGMAN is Bethlehem PA 18017-7384. This licensed professional license is not current. The license was granted 07/26/2002 and expired on 03/31/2013.

Pennsylvania

Department of State

RUSS SCOTT BERGMAN
Dentistry - Anesthesia Permit - Restricted II
License number
DN000574
Date granted
07/26/2002
Date expires
03/31/2013
Class
Dentistry - Anesthesia Permit - Restricted II
Status
Expired
Address
Bethlehem PA 18017-7384
palicensing.org
ID 16537433
LAST UPDATED 2024-03-29 03:05:29 UTC

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