REGINA H ROCHA DDS - Dentist License in Illinois | # 018001549

REGINA H ROCHA DDS

Business Entity

CANCELLED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001549

License Status

CANCELLED

Business

N

First Name

REGINA

Middle

H

Last Name

ROCHA

Suffix

DDS

Business Name

REGINA H ROCHA DDS

Original Issue Date

06/06/2005

Effective Date

06/06/2005

Expiration Date

06/30/2008

State

IL

Specialty/Qualifier

Endodontics

Ever Disciplined

N

LastModifiedDate

09/14/2007