IDA LYNN ROSE DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025229

License Status

INACTIVE

Business

First Name

IDA

Middle

LYNN

Last Name

ROSE

Suffix

DDS

Business Name

IDA LYNN ROSE DDS

Original Issue Date

03/13/2000

Effective Date

03/13/2000

Expiration Date

09/30/2002

City

MABLETON

State

Zip

30126

County

GEORGIA

Ever Disciplined

LastModifiedDate

10/17/2005