KALA LYNN ROUSU - Dentist License in Illinois | # 018001916

KALA LYNN ROUSU

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001916

License Status

NOT RENEWED

Business

N

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

State

IL

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

N

LastModifiedDate

03/09/2017