AMY M ROBERTS DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001436

License Status

EXPIRED

Business

First Name

AMY

Middle

Last Name

ROBERTS

Suffix

DDS

Business Name

AMY M ROBERTS DDS

Original Issue Date

09/10/2003

Effective Date

09/10/2003

Expiration Date

06/30/2004

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005