CARROLYN DELK ROUNTREE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003664

License Status

NOT RENEWED

Business

First Name

CARROLYN DELK

Last Name

ROUNTREE

Business Name

CARROLYN DELK ROUNTREE

Original Issue Date

08/21/1978

Effective Date

08/21/1978

Expiration Date

09/30/1994

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/12/2005