CARMEN DIANE ROBERTS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013368

License Status

NOT RENEWED

Business

First Name

CARMEN

Middle

DIANE

Last Name

ROBERTS

Business Name

CARMEN DIANE ROBERTS

Original Issue Date

07/28/2010

Effective Date

07/28/2010

Expiration Date

09/30/2012

City

ELIZABETH

State

Zip

72531

County

ARKANSAS

Ever Disciplined

LastModifiedDate

11/14/2012