JAN ROMAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002362

License Status

NOT RENEWED

Business

First Name

JAN

Last Name

ROMAN

Business Name

JAN ROMAN

Original Issue Date

07/03/1974

Effective Date

07/09/2018

Expiration Date

01/31/2022

City

GENEVA

State

Zip

60134

County

KANE

Ever Disciplined

LastModifiedDate

05/09/2022