PATRICIA ROTH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002495

License Status

NOT RENEWED

Business

First Name

PATRICIA

Last Name

ROTH

Business Name

PATRICIA ROTH

Original Issue Date

07/10/1975

Effective Date

07/10/1975

City

NOKOMIS

State

Zip

62075

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

10/12/2005