CHARNA JAKER ROTHBAUM Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000807

License Status

NOT RENEWED

Business

First Name

CHARNA JAKER

Last Name

ROTHBAUM

Business Name

CHARNA JAKER ROTHBAUM

Original Issue Date

07/15/1965

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

11/04/2009