DAVID L ROBERTS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019710

License Status

NOT RENEWED

Business

First Name

DAVID L

Last Name

ROBERTS

Business Name

DAVID L ROBERTS

Original Issue Date

08/06/1985

Effective Date

08/06/1985

Expiration Date

09/30/1992

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/12/2005