ROSCOE CONKLING FOSTER JR DDS - Dentist License in Illinois | # 021000622

ROSCOE CONKLING FOSTER JR DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000622

License Status

NOT RENEWED

Business

N

First Name

ROSCOE CONKLING

Last Name

FOSTER JR

Suffix

DDS

Business Name

ROSCOE CONKLING FOSTER JR DDS

Original Issue Date

12/08/1969

Effective Date

12/08/1969

Expiration Date

09/30/2000

State

IL

Specialty/Qualifier

Orthodontics

Ever Disciplined

N

LastModifiedDate

10/17/2005