AGNES MARIE ROLEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000856

License Status

NOT RENEWED

Business

First Name

AGNES MARIE

Last Name

ROLEN

Business Name

AGNES MARIE ROLEN

Original Issue Date

07/18/1966

Effective Date

07/18/1966

City

DAVENPORT

State

Zip

52807

County

IOWA

Ever Disciplined

LastModifiedDate

10/12/2005