ERIC L ROUSH - Dentist License in Illinois | # 018000774

ERIC L ROUSH

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000774

License Status

NOT RENEWED

Business

N

First Name

ERIC

Middle

L

Last Name

ROUSH

Business Name

ERIC L ROUSH

Original Issue Date

06/24/1994

Effective Date

06/24/1994

Expiration Date

06/30/1996

State

IL

Specialty/Qualifier

Orthodontics

Ever Disciplined

N

LastModifiedDate

10/12/2005