KALA LYNN ROUSU Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001916

License Status

NOT RENEWED

Business

First Name

KALA

Middle

LYNN

Last Name

ROUSU

Business Name

KALA LYNN ROUSU

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2016

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

LastModifiedDate

03/09/2017