MARTIN J ROGERS DDS - Dentist License in Illinois | # 018000628

MARTIN J ROGERS DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000628

License Status

NOT RENEWED

Business

N

First Name

MARTIN J

Last Name

ROGERS

Suffix

DDS

Business Name

MARTIN J ROGERS DDS

Original Issue Date

07/01/1992

Effective Date

07/01/1992

Expiration Date

06/30/1993

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

10/12/2005