TIMOTHY WAYNE ROSER DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026781

License Status

ACTIVE

Business

First Name

TIMOTHY

Middle

WAYNE

Last Name

ROSER

Suffix

DMD

Business Name

TIMOTHY WAYNE ROSER DMD

Original Issue Date

06/15/2005

Effective Date

08/28/2024

Expiration Date

09/30/2027

City

CARMI

State

Zip

62821

County

WHITE

Ever Disciplined

LastModifiedDate

08/28/2024