KIMBERLY M ROUSH DDS - Dentist License in Illinois | # 019023572

KIMBERLY M ROUSH DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019023572

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005