ROGER D PEARSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011636

License Status

NOT RENEWED

Business

First Name

ROGER

Middle

Last Name

PEARSON

Suffix

DDS

Business Name

ROGER D PEARSON DDS

Original Issue Date

01/05/1960

Effective Date

09/15/2009

Expiration Date

09/30/2012

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/14/2012