KIMBERLY M ROUSH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019023572

License Status

NOT RENEWED

Business

First Name

KIMBERLY M

Last Name

ROUSH

Suffix

DDS

Business Name

KIMBERLY M ROUSH DDS

Original Issue Date

05/18/1994

Effective Date

05/18/1994

Expiration Date

09/30/1996

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005