CAROLYN JEAN ROACH - Dentist License in Illinois | # 020001513

CAROLYN JEAN ROACH

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001513

License Status

INACTIVE

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005