STEPHANIE ANN ROQUE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008889

License Status

NOT RENEWED

Business

First Name

STEPHANIE ANN

Last Name

ROQUE

Business Name

STEPHANIE ANN ROQUE

Original Issue Date

11/22/1996

Effective Date

11/22/1996

Expiration Date

09/30/1998

City

PUEBLO

State

Zip

81004

County

COLORADO

Ever Disciplined

LastModifiedDate

10/12/2005