ROGER SMITH CULLEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014543

License Status

NOT RENEWED

Business

First Name

ROGER SMITH

Last Name

CULLEN

Suffix

DDS

Business Name

ROGER SMITH CULLEN DDS

Original Issue Date

07/11/1973

Effective Date

07/11/1973

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005