KATHY S ROEHM Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002022

License Status

INACTIVE

Business

First Name

KATHY S

Last Name

ROEHM

Business Name

KATHY S ROEHM

Original Issue Date

07/11/1973

Effective Date

07/11/1973

Expiration Date

09/30/1994

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/12/2005