ROGER BLAIR WOODROME DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016705

License Status

NOT RENEWED

Business

First Name

ROGER BLAIR

Last Name

WOODROME

Suffix

DMD

Business Name

ROGER BLAIR WOODROME DMD

Original Issue Date

06/29/1979

Effective Date

09/16/2015

Expiration Date

09/30/2018

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

10/31/2018