CAROLYN JEAN ROACH Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001513

License Status

INACTIVE

Business

First Name

CAROLYN JEAN

Last Name

ROACH

Business Name

CAROLYN JEAN ROACH

Original Issue Date

07/08/1971

Effective Date

07/08/1971

Expiration Date

09/30/1992

City

ELGIN

State

Zip

60120

County

KANE

Ever Disciplined

LastModifiedDate

10/12/2005