ROGER ALAN GREEN DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012382

License Status

INACTIVE

Business

First Name

ROGER ALAN

Last Name

GREEN

Suffix

DDS

Business Name

ROGER ALAN GREEN DDS

Original Issue Date

11/22/1963

Effective Date

11/22/1963

Expiration Date

09/30/1994

City

SUN CITY

State

Zip

85351

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/12/2005