SIDNEY G ROBERTS - Dentist License in Illinois | # 018000215

SIDNEY G ROBERTS

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000215

License Status

EXPIRED

Business

N

First Name

SIDNEY

Middle

G

Last Name

ROBERTS

Business Name

SIDNEY G ROBERTS

Original Issue Date

08/02/1988

Effective Date

08/02/1988

Expiration Date

08/02/1990

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

10/12/2005